Mark Clifford Gillen in Ellsworth - Clinical
Mark Clifford Gillen - NPI 1104830785
Mark Clifford Gillen is a Clinical in Ellsworth, Wisconsin. Mark Clifford Gillen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Clifford Gillen is 1104830785. The last update date is 2007-07-08.
Mark Clifford Gillen's current location address is 257 N Piety St, Ellsworth, Wisconsin. You can contact this provider via phone number 7154253890. The mailing address for Mark Clifford Gillen is 257 N Piety St, Ellsworth, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Clifford Gillen |
|---|---|
| Address | 257 N Piety St, Ellsworth, Wisconsin |
| Phone Number | 7154253890 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1104830785 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 257 N Piety St |
|---|---|
| City | Ellsworth |
| State | Wisconsin (WI) |
| Post Code | 540115056 |
| Phone Number | 7154253890 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3992-123 |
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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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Post Comment/ Review Below
What is the Mark Clifford Gillen's 1104830785?
The Mark Clifford Gillen's NPI (National Provider Identifier) Number is 1104830785. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Clifford Gillen located?
The Mark Clifford Gillen is located at 257 N Piety St, Ellsworth, WI 540115056.
What is the Mark Clifford Gillen's specialty and taxonomy code?
The Mark Clifford Gillen's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Mark Clifford Gillen receive its 1104830785?
The Mark Clifford Gillen was issued its 1104830785 on 2006-07-28, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Mark Clifford Gillen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Clifford Gillen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.