Diana Sussman is a Clinical in Scottsdale, Arizona. Diana Sussman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diana Sussman is 1417974148. The last update date is 2008-01-03.
Diana Sussman's current location address is 7626 E Northland Dr, Scottsdale, Arizona. You can contact this provider via phone number 4809474540. The mailing address for Diana Sussman is 7626 E Northland Dr, Scottsdale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diana Sussman |
|---|---|
| Address | 7626 E Northland Dr, Scottsdale, Arizona |
| Phone Number | 4809474540 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1417974148 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2008-01-03 |
Provider Mailing Address Detail
| Address | 7626 E Northland Dr |
|---|---|
| City | Scottsdale |
| State | Arizona (AZ) |
| Post Code | 852511517 |
| Phone Number | 4809474540 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW10572 |
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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 |
|---|---|---|---|
| 26766 | AZ | VMC BEHAVIORAL HEALTHCARE | |
| 352118 | AZ | MANAGED HEALTH NETWORK | |
| 7707637 | AZ | AETNA |
Post Comment/ Review Below
What is the Diana Sussman's unique identification number?
The Diana Sussman has been assigned the NPI (National Provider Identifier) Number 1417974148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Diana Sussman is geographically located?
The Diana Sussman is physically situated at the following location: 7626 E Northland Dr, Scottsdale, AZ, 852511517.
What is Diana Sussman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Diana Sussman's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Diana Sussman receive the assignment of its 1417974148 from the Centers for Medicare & Medicaid Services?
The Diana Sussman was issued its 1417974148 by the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date was the information regarding Diana Sussman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Diana Sussman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-03.