E Susan Bibby in Long Beach - Clinical

E Susan Bibby - NPI 1174635544

E Susan Bibby is a Clinical in Long Beach, California. E Susan Bibby practices all healthcare services and medical treatments related to Clinical. The NPI Number for E Susan Bibby is 1174635544. The last update date is 2011-03-03.

E Susan Bibby's current location address is 6621 E Pacific Coast Hwy Ste 220, Long Beach, California. You can contact this provider via phone number 5628580663 and fax number 5625966443. The mailing address for E Susan Bibby is 6621 E Pacific Coast Hwy Ste 220, Long Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name E Susan Bibby
Address 6621 E Pacific Coast Hwy Ste 220, Long Beach, California
Phone Number 5628580663
Fax Number 5625966443
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1174635544
Provider Enumeration Date 2006-08-31
Last Updated Date 2011-03-03

Provider Mailing Address Detail

Address 6621 E Pacific Coast Hwy Ste 220
City Long Beach
State California (CA)
Post Code 908034239
Phone Number 5628580663
Fax Number 5625966443

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS8173
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CSW0813730 CA --

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FAQs about E Susan Bibby

What is the unique identifier code issued to E Susan Bibby by the Centers for Medicare & Medicaid Services?

The E Susan Bibby has been assigned the NPI (National Provider Identifier) 1174635544. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where E Susan Bibby's facilities are situated?

The facilities of E Susan Bibby are physically located at the following address: 6621 E Pacific Coast Hwy Ste 220, Long Beach, CA, 908034239.

What is E Susan Bibby'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 E Susan Bibby 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 issue the 1174635544 to E Susan Bibby?

The E Susan Bibby received its 1174635544 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.

As of what date were the E Susan Bibby's details last updated?

The information pertaining to the E Susan Bibby, including its address, specialty, and other details, was most recently updated on 2011-03-03.

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