Sue Ellen Middagh is a Clinical in Marana, Arizona. Sue Ellen Middagh practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sue Ellen Middagh is 1447460480. The last update date is 2017-01-04.
Sue Ellen Middagh's current location address is Po Box 188, Marana, Arizona. You can contact this provider via phone number 5206824111 and fax number 5208183630. The mailing address for Sue Ellen Middagh is Po Box 188, Marana, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sue Ellen Middagh |
|---|---|
| Address | Po Box 188, Marana, Arizona |
| Phone Number | 5206824111 |
| Fax Number | 5208183630 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1447460480 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2017-01-04 |
Provider Mailing Address Detail
| Address | Po Box 188 |
|---|---|
| City | Marana |
| State | Arizona (AZ) |
| Post Code | 856530188 |
| Phone Number | 5206824111 |
| Fax Number | 5208183630 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-4049 |
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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 |
|---|---|---|---|
| 642133 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sue Ellen Middagh by the Centers for Medicare & Medicaid Services?
The Sue Ellen Middagh has been issued the NPI (National Provider Identifier) 1447460480 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Sue Ellen Middagh?
The Sue Ellen Middagh is situated at Po Box 188, in the city of Marana, state of AZ, with the zip code 856530188.
What is Sue Ellen Middagh's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sue Ellen Middagh is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1447460480 to Sue Ellen Middagh?
The Centers for Medicare & Medicaid Services originally issued the 1447460480 to Sue Ellen Middagh on 2007-05-22.
As of what date was the information pertaining to Sue Ellen Middagh, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sue Ellen Middagh, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-01-04.