Phyllis Arlene Gordon in Chattanooga - Clinical
Phyllis Arlene Gordon - NPI 1740278688
Phyllis Arlene Gordon is a Clinical in Chattanooga, Tennessee. Phyllis Arlene Gordon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Phyllis Arlene Gordon is 1740278688. The last update date is 2007-07-08.
Phyllis Arlene Gordon's current location address is 600 N Holtzclaw Ave, Chattanooga, Tennessee. You can contact this provider via phone number 4236220500 and fax number 4236220564. The mailing address for Phyllis Arlene Gordon is 600 N Holtzclaw Ave, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Arlene Gordon |
|---|---|
| Address | 600 N Holtzclaw Ave, Chattanooga, Tennessee |
| Phone Number | 4236220500 |
| Fax Number | 4236220564 |
| Sole Proprietor | X |
| Credentials | MSSW |
NPI Number Detail
| NPI Number | 1740278688 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 600 N Holtzclaw Ave |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374041242 |
| Phone Number | 4236220500 |
| Fax Number | 4236220564 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LSW00882 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3694920 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Phyllis Arlene Gordon by the Centers for Medicare & Medicaid Services (CMS)?
The Phyllis Arlene Gordon has been assigned the NPI (National Provider Identifier) 1740278688. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Phyllis Arlene Gordon's facilities are geographically located?
The facilities of Phyllis Arlene Gordon are physically situated at the following location: 600 N Holtzclaw Ave, Chattanooga, TN, 374041242.
What is Phyllis Arlene Gordon's area of expertise and its corresponding taxonomy classification?
The Phyllis Arlene Gordon's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Phyllis Arlene Gordon receive its 1740278688 assignment from the Centers for Medicare & Medicaid Services?
The Phyllis Arlene Gordon was assigned its 1740278688 by the Centers for Medicare & Medicaid Services on 2005-10-13.
When was the information pertaining to Phyllis Arlene Gordon most recently updated or revised?
The details related to Phyllis Arlene Gordon, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.