Ms. Gwen Elizabeth Madill
Clinical Social Worker
508 Fulton St Social Work Service
Durham
, North Carolina 27705-3875
Ms. Gwen Elizabeth Madill
Clinical Social Worker
508 Fulton St Social Work Service
Durham
, North Carolina 27705-3875
(919) 286-0411
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Ms. Gwen Elizabeth Madill
- 508 Fulton St Social Work Service
- Durham, NC
- Zip : 27705-3875
- Phone : (919) 286-0411
Second Address
- Ms. Gwen Elizabeth Madill
- 508 Fulton St Social Work Service
- Durham, NC
- Zip : 27705-3875
- Phone : (919) 286-0411
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | C007276 | NC |
National Provider Identifier
| NPI | 1003131186 |
|---|---|
| Provider Name | Ms. Gwen Elizabeth Madill |
| First Address | Durham, NC 27705-3875 |
| Second Address | Durham, NC 27705-3875 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2010 |
| Last Update Date | 03/06/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.