Susan T Henderson in Santa Monica - Clinical

Susan T Henderson - NPI 1548324304

Susan T Henderson is a Clinical in Santa Monica, California. Susan T Henderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan T Henderson is 1548324304. The last update date is 2010-11-08.

Susan T Henderson's current location address is 1448 15th St Ste 203, Santa Monica, California. You can contact this provider via phone number 3104512107 and fax number 3104519665. The mailing address for Susan T Henderson is 1448 15th St Ste 203, Santa Monica, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Susan T Henderson
Address 1448 15th St Ste 203, Santa Monica, California
Phone Number 3104512107
Fax Number 3104519665
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER SELF
Authorized Official Name Henderson Trimble Susan
Credentials LCSW
Telephone Number 3104512107

NPI Number Detail

NPI Number 1548324304
Provider Enumeration Date 2006-12-19
Last Updated Date 2010-11-08

Provider Mailing Address Detail

Address 1448 15th St Ste 203
City Santa Monica
State California (CA)
Post Code 904042756
Phone Number 3104512107
Fax Number 3104519665

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS9451
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 T Henderson

What is the unique provider identifier assigned to Susan T Henderson?

The Susan T Henderson has been issued the NPI (National Provider Identifier) 1548324304 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Susan T Henderson is located?

The Susan T Henderson is situated at the following address: 1448 15Th St Ste 203, Santa Monica, CA, 904042756.

What is Susan T Henderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Susan T Henderson is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Susan T Henderson receive the assignment of its 1548324304 from the Centers for Medicare & Medicaid Services?

The Susan T Henderson was issued its 1548324304 by the Centers for Medicare & Medicaid Services on 2006-12-19.

When was the information regarding Susan T Henderson most recently updated?

The details pertaining to the Susan T Henderson, including its address, specialty, and other relevant information, were last refreshed on 2010-11-08.

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