Susan M Willis is a Social Worker in Ithaca, New York. Susan M Willis practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Susan M Willis is 1356389092. The last update date is 2011-04-05.
Susan M Willis's current location address is 113 Texas Lane, Ithaca, New York. You can contact this provider via phone number 6072746200 and fax number 6072746316. The mailing address for Susan M Willis is 113 Texas Lane, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M Willis |
|---|---|
| Address | 113 Texas Lane, Ithaca, New York |
| Phone Number | 6072746200 |
| Fax Number | 6072746316 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1356389092 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2011-04-05 |
Provider Mailing Address Detail
| Address | 113 Texas Lane |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 14850 |
| Phone Number | 6072746200 |
| Fax Number | 6072746316 |
Provider's Primary Taxonomy Detail
| Speciality | Social Worker |
|---|---|
| Taxonomy | 104100000X |
| Licence No | RO452381 |
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Definition: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an |
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What is the unique 10-digit identification code assigned to Susan M Willis by the Centers for Medicare & Medicaid Services?
The Susan M Willis has been issued the NPI (National Provider Identifier) 1356389092, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Susan M Willis located?
The Susan M Willis is located at 113 Texas Lane, Ithaca, NY 14850.
What is the Susan M Willis's area of specialization and corresponding taxonomy classification?
The Susan M Willis's specialty field is Social Worker, and it falls under the taxonomy code 104100000X, which categorizes healthcare providers based on their specialties.
When was the Susan M Willis's 1356389092 issued?
The Susan M Willis's 1356389092 was issued on 2006-06-03.
When was the information regarding Susan M Willis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susan M Willis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-04-05.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY