Doctor Name: | MRS. CAROL GORDON WARMBIER |
NPI Number: | 1972625119 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | 02481 |
Business Practice Address: | 117 E Call St Algona, IA - 505112444 |
Business Phone Number: | 5152953334 |
Business Fax Number: | 5152953337 |
Mailing Address: | Po Box 474, HUMBOLDT |
State: | IA |
Postal Code: | 505480474 |
Phone Number: | 5152953334 |
Fax Number: | 5152953337 |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 01/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 02481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |