Susan Michelle Bordon in Venice - Clinical
Susan Michelle Bordon - NPI 1710104740
Susan Michelle Bordon is a Clinical in Venice, California. Susan Michelle Bordon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Michelle Bordon is 1710104740. The last update date is 2013-10-14.
Susan Michelle Bordon's current location address is 2332 Beach Ave, Venice, California. You can contact this provider via phone number 4159059443. The mailing address for Susan Michelle Bordon is 2332 Beach Ave, Venice, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Michelle Bordon |
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Address | 2332 Beach Ave, Venice, California |
Phone Number | 4159059443 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1710104740 |
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Provider Enumeration Date | 2007-04-19 |
Last Updated Date | 2013-10-14 |
Provider Mailing Address Detail
Address | 2332 Beach Ave |
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City | Venice |
State | California (CA) |
Post Code | 902914603 |
Phone Number | 4159059443 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
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 10-digit identification code assigned to Susan Michelle Bordon by the Centers for Medicare & Medicaid Services?
The Susan Michelle Bordon has been issued the NPI (National Provider Identifier) 1710104740, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susan Michelle Bordon is located?
The Susan Michelle Bordon is situated at the following address: 2332 Beach Ave, Venice, CA, 902914603.
What is the area of specialization for Susan Michelle Bordon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan Michelle Bordon is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Susan Michelle Bordon receive its 1710104740 assignment from the Centers for Medicare & Medicaid Services?
The Susan Michelle Bordon was assigned its 1710104740 on 2007-04-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Susan Michelle Bordon most recently updated or revised?
The details related to Susan Michelle Bordon, including its address, specialty, and other relevant information, were last updated or revised on 2013-10-14.