Susana Russ is a Clinical in Woodland, California. Susana Russ practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susana Russ is 1578648598. The last update date is 2007-07-09.
Susana Russ's current location address is 455 1st St, Woodland, California. You can contact this provider via phone number 5306622211 and fax number 5306624315. The mailing address for Susana Russ is 455 1st St, Woodland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susana Russ |
|---|---|
| Address | 455 1st St, Woodland, California |
| Phone Number | 5306622211 |
| Fax Number | 5306624315 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1578648598 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 455 1st St |
|---|---|
| City | Woodland |
| State | California (CA) |
| Post Code | 956954023 |
| Phone Number | 5306622211 |
| Fax Number | 5306624315 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS19115 |
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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 |
|---|---|---|---|
| 10019 | CA | -- |
Post Comment/ Review Below
What is the Susana Russ's unique identification number?
The Susana Russ has been assigned the NPI (National Provider Identifier) Number 1578648598 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Susana Russ's facilities are situated?
The facilities of Susana Russ are physically located at the following address: 455 1St St, Woodland, CA, 956954023.
What is Susana Russ's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susana Russ is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578648598 to Susana Russ?
The Centers for Medicare & Medicaid Services originally issued the 1578648598 to Susana Russ on 2006-10-26.
As of what date were the details related to Susana Russ most recently updated or revised?
The information pertaining to Susana Russ, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.