Gordon George Bohl in Port St Lucie - Clinical

Gordon George Bohl - NPI 1215024229

Gordon George Bohl is a Clinical in Port St Lucie, Florida. Gordon George Bohl practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gordon George Bohl is 1215024229. The last update date is 2007-07-08.

Gordon George Bohl's current location address is 8241 S Us 1, Port St Lucie, Florida. You can contact this provider via phone number 7728789368 and fax number 7728789378. The mailing address for Gordon George Bohl is 8241 S Us 1, Port St Lucie, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon George Bohl
Address 8241 S Us 1, Port St Lucie, Florida
Phone Number 7728789368
Fax Number 7728789378
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1215024229
Provider Enumeration Date 2006-10-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8241 S Us 1
City Port St Lucie
State Florida (FL)
Post Code 34952
Phone Number 7728789368
Fax Number 7728789378

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No SW3235
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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FAQs about Gordon George Bohl

What is the unique 10-digit identification code assigned to Gordon George Bohl by the Centers for Medicare & Medicaid Services?

The Gordon George Bohl has been issued the NPI (National Provider Identifier) 1215024229, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Gordon George Bohl's physical address?

The Gordon George Bohl is physically located at 8241 S Us 1, in the city of Port St Lucie, FL, with the postal code 34952.

What is the Gordon George Bohl's area of specialization and corresponding taxonomy classification?

The Gordon George Bohl's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1215024229 to Gordon George Bohl?

The Gordon George Bohl received its 1215024229 assignment from the Centers for Medicare & Medicaid Services on 2006-10-10.

When was the Gordon George Bohl's information last updated?

The Gordon George Bohl's information was last updated on 2007-07-08.

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