Ann Sussman is a Clinical in Oakland, California. Ann Sussman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ann Sussman is 1720292956. The last update date is 2007-07-16.
Ann Sussman's current location address is 616 16th Street, Oakland, California. You can contact this provider via phone number 5108415572. The mailing address for Ann Sussman is 616 16th Street, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ann Sussman |
|---|---|
| Address | 616 16th Street, Oakland, California |
| Phone Number | 5108415572 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1720292956 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 616 16th Street |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 94612 |
| Phone Number | 5108415572 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 20673 |
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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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What is the unique identifier code issued to Ann Sussman by the Centers for Medicare & Medicaid Services (CMS)?
The Ann Sussman has been assigned the NPI (National Provider Identifier) 1720292956. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Ann Sussman located?
The Ann Sussman is located at 616 16Th Street, Oakland, CA 94612.
What is the Ann Sussman's specialty and taxonomy code?
The Ann Sussman's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Ann Sussman receive its 1720292956 assignment from the Centers for Medicare & Medicaid Services?
The Ann Sussman was assigned its 1720292956 by the Centers for Medicare & Medicaid Services on 2007-05-09.
When was the information related to Ann Sussman most recently updated or refreshed?
The details pertaining to the Ann Sussman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-16.