David Gary Eldredge in Salt Lake City - Clinical
David Gary Eldredge - NPI 1699758342
David Gary Eldredge is a Clinical in Salt Lake City, Utah. David Gary Eldredge practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Gary Eldredge is 1699758342. The last update date is 2021-12-03.
David Gary Eldredge's current location address is 280 E 600 S, Salt Lake City, Utah. You can contact this provider via phone number 8015382069. The mailing address for David Gary Eldredge is 280 E 600 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Gary Eldredge |
|---|---|
| Address | 280 E 600 S, Salt Lake City, Utah |
| Phone Number | 8015382069 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1699758342 |
|---|---|
| Provider Enumeration Date | 2005-11-28 |
| Last Updated Date | 2021-12-03 |
Provider Mailing Address Detail
| Address | 280 E 600 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841113564 |
| Phone Number | 8015382069 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2828373501 |
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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 |
|---|---|---|---|
| 107012403101 | UT | INTRMTN. HEALTH CARE | |
| 780730 | UT | DESERET MUTUAL | |
| 942938348ELD | UT | EDUCATORS MUTUAL | |
| 28283735001001 | UT | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to David Gary Eldredge by the Centers for Medicare & Medicaid Services (CMS)?
The David Gary Eldredge has been assigned the NPI (National Provider Identifier) 1699758342. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of David Gary Eldredge?
The David Gary Eldredge is physically situated at 280 E 600 S, in the city of Salt Lake City, state of UT, with the postal code 841113564.
What is David Gary Eldredge's area of expertise and its corresponding taxonomy classification?
The David Gary Eldredge'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 Centers for Medicare & Medicaid Services issue the 1699758342 to David Gary Eldredge?
The David Gary Eldredge received its 1699758342 assignment from the Centers for Medicare & Medicaid Services on 2005-11-28.
As of what date was the information regarding David Gary Eldredge, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Gary Eldredge, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-03.
NPI Number: 1720081763
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