NPI 1053303438 MR. CHARLES ARTHUR GILDRIE LCSW JOHNSON CITY TN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Charles Arthur Gildrie - NPI: 1053303438

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. CHARLES ARTHUR GILDRIE
NPI Number: 1053303438
Entity Type Code: Individual (1)
Gender: M
Credentials: LCSW
License Number: 982
Business Practice Address: 1520 Grove St
Loudon, TN - 377741575
Business Phone Number: 4232821480
Business Fax Number: 4239281353
Mailing Address: 119 Boone Ridge Dr, Suite 201
JOHNSON CITY
State: TN
Postal Code: 376154998
Phone Number: 4232821480
Fax Number: 4239281353
NPI Enumeration Date: 08/22/2005
NPI Last Update Date: 03/26/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1041C0700X
License Number: 982
Healthcare Provider Taxonomy:
(Secondary)
Y
State: TN
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Social Worker
Taxonomy Specialization: Clinical
Taxonomy Definition:
A social worker who holds a master


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