Gretchen W Skelly in South Jordan - Clinical
Gretchen W Skelly - NPI 1952403420
Gretchen W Skelly is a Clinical in South Jordan, Utah. Gretchen W Skelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gretchen W Skelly is 1952403420. The last update date is 2007-07-08.
Gretchen W Skelly's current location address is 11618 Summer Stone Dr, South Jordan, Utah. You can contact this provider via phone number 8013021291. The mailing address for Gretchen W Skelly is 11618 Summer Stone Dr, South Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gretchen W Skelly |
|---|---|
| Address | 11618 Summer Stone Dr, South Jordan, Utah |
| Phone Number | 8013021291 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1952403420 |
|---|---|
| Provider Enumeration Date | 2006-09-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11618 Summer Stone Dr |
|---|---|
| City | South Jordan |
| State | Utah (UT) |
| Post Code | 840958091 |
| Phone Number | 8013021291 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 322032-3501 |
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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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What is the unique 10-digit identifier code assigned to Gretchen W Skelly by the Centers for Medicare & Medicaid Services?
The Gretchen W Skelly has been issued the NPI (National Provider Identifier) 1952403420 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Gretchen W Skelly located?
The Gretchen W Skelly is located at 11618 Summer Stone Dr, South Jordan, UT 840958091.
What is Gretchen W Skelly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gretchen W Skelly's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952403420 to Gretchen W Skelly?
The Gretchen W Skelly received its 1952403420 assignment from the Centers for Medicare & Medicaid Services on 2006-09-03.
When was the information related to Gretchen W Skelly most recently updated or refreshed?
The details pertaining to the Gretchen W Skelly, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.