Jared David Gavin is a Clinical in Garland, Texas. Jared David Gavin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jared David Gavin is 1356480487. The last update date is 2023-03-07.
Jared David Gavin's current location address is 501 S Jupiter Rd, Garland, Texas. You can contact this provider via phone number 2149973359. The mailing address for Jared David Gavin is 501 S Jupiter Rd, Garland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jared David Gavin |
|---|---|
| Address | 501 S Jupiter Rd, Garland, Texas |
| Phone Number | 2149973359 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1356480487 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 501 S Jupiter Rd |
|---|---|
| City | Garland |
| State | Texas (TX) |
| Post Code | 750427108 |
| Phone Number | 2149973359 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 105496 |
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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 |
|---|---|---|---|
| 520111977 | NE | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jared David Gavin by the Centers for Medicare & Medicaid Services?
The Jared David Gavin has been assigned the NPI (National Provider Identifier) 1356480487 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jared David Gavin?
The Jared David Gavin is physically situated at 501 S Jupiter Rd, in the city of Garland, state of TX, with the postal code 750427108.
What is Jared David Gavin's area of expertise and its corresponding taxonomy classification?
The Jared David Gavin'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 Jared David Gavin receive its 1356480487 assignment from the Centers for Medicare & Medicaid Services?
The Jared David Gavin was assigned its 1356480487 on 2007-02-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jared David Gavin's information last updated?
The Jared David Gavin's information was last updated on 2023-03-07.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX