Susan Pease in San Rafael - Clinical

Susan Pease - NPI 1114029667

Susan Pease is a Clinical in San Rafael, California. Susan Pease practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Pease is 1114029667. The last update date is 2007-07-08.

Susan Pease's current location address is 705 4th St, San Rafael, California. You can contact this provider via phone number 4152570830. The mailing address for Susan Pease is 705 4th St, San Rafael, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Pease
Address 705 4th St, San Rafael, California
Phone Number 4152570830
Fax Number
Sole Proprietor Y
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1114029667
Provider Enumeration Date 2006-09-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 705 4th St
City San Rafael
State California (CA)
Post Code 949013233
Phone Number 4152570830
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS 19175
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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FAQs about Susan Pease

What is the unique identifier code issued to Susan Pease by the Centers for Medicare & Medicaid Services (CMS)?

The Susan Pease has been assigned the NPI (National Provider Identifier) 1114029667. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Susan Pease?

The Susan Pease is physically situated at 705 4Th St, in the city of San Rafael, state of CA, with the postal code 949013233.

What is the Susan Pease's area of specialization and corresponding taxonomy classification?

The Susan Pease's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

When was the Susan Pease's 1114029667 issued?

The Susan Pease's 1114029667 was issued on 2006-09-05.

When was the information pertaining to Susan Pease most recently updated or revised?

The details related to Susan Pease, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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