Susan Brown is a Clinical in La Mesa, California. Susan Brown practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Brown is 1871693499. The last update date is 2007-07-08.
Susan Brown's current location address is 4700 Spring St, La Mesa, California. You can contact this provider via phone number 6196985435 and fax number 6196985435. The mailing address for Susan Brown is 4700 Spring St, La Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Brown |
|---|---|
| Address | 4700 Spring St, La Mesa, California |
| Phone Number | 6196985435 |
| Fax Number | 6196985435 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1871693499 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4700 Spring St |
|---|---|
| City | La Mesa |
| State | California (CA) |
| Post Code | 919415263 |
| Phone Number | 6196985435 |
| Fax Number | 6196985435 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS12679 |
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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 |
|---|---|---|---|
| ZZZ28134Z | CA | BLUE SHIELD | |
| LCS12679 | CA | BBSE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Brown by the Centers for Medicare & Medicaid Services?
The Susan Brown has been assigned the NPI (National Provider Identifier) 1871693499. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Susan Brown located?
The Susan Brown is located at 4700 Spring St, La Mesa, CA 919415263.
What is Susan Brown'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 Susan Brown is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Susan Brown receive its 1871693499 assignment from the Centers for Medicare & Medicaid Services?
The Susan Brown was assigned its 1871693499 by the Centers for Medicare & Medicaid Services on 2006-09-24.
As of what date were the Susan Brown's details last updated?
The information pertaining to the Susan Brown, including its address, specialty, and other details, was most recently updated on 2007-07-08.