Susan Reeder is a Clinical in San Diego, California. Susan Reeder practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Reeder is 1215018791. The last update date is 2013-06-17.
Susan Reeder's current location address is 1501 Imperial Ave, San Diego, California. You can contact this provider via phone number 6196456726. The mailing address for Susan Reeder is 1501 Imperial Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Reeder |
|---|---|
| Address | 1501 Imperial Ave, San Diego, California |
| Phone Number | 6196456726 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1215018791 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2013-06-17 |
Provider Mailing Address Detail
| Address | 1501 Imperial Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921017638 |
| Phone Number | 6196456726 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 24188 |
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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 |
|---|---|---|---|
| 1201 | CA | MEDI-CAL |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Reeder?
The Susan Reeder has been issued the NPI (National Provider Identifier) 1215018791 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Susan Reeder?
The Susan Reeder is situated at 1501 Imperial Ave, in the city of San Diego, state of CA, with the zip code 921017638.
What is Susan Reeder's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Reeder is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Susan Reeder receive the assignment of its 1215018791 from the Centers for Medicare & Medicaid Services?
The Susan Reeder was issued its 1215018791 by the Centers for Medicare & Medicaid Services on 2006-10-18.
As of what date were the details pertaining to Susan Reeder last refreshed?
The information related to the Susan Reeder, including its address, specialty, and other relevant details, was last updated on 2013-06-17.