Susan Elizabeth Soares in Dayville - Clinical
Susan Elizabeth Soares - NPI 1457387557
Susan Elizabeth Soares is a Clinical in Dayville, Connecticut. Susan Elizabeth Soares practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Elizabeth Soares is 1457387557. The last update date is 2012-06-19.
Susan Elizabeth Soares's current location address is 1007 N Main St, Dayville, Connecticut. You can contact this provider via phone number 8607742020 and fax number 8607795436. The mailing address for Susan Elizabeth Soares is 1007 N Main St, Dayville, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Elizabeth Soares |
|---|---|
| Address | 1007 N Main St, Dayville, Connecticut |
| Phone Number | 8607742020 |
| Fax Number | 8607795436 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1457387557 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2012-06-19 |
Provider Mailing Address Detail
| Address | 1007 N Main St |
|---|---|
| City | Dayville |
| State | Connecticut (CT) |
| Post Code | 62412170 |
| Phone Number | 8607742020 |
| Fax Number | 8607795436 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ISW01165 |
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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 |
|---|---|---|---|
| SS51562 | RI | -- | |
| 62-94720 | RI | UNITED BEHAVIORAL HEALTH | |
| 27207-6 | RI | BLUE CROSS | |
| 411734 | RI | BLUE CHIP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan Elizabeth Soares by the Centers for Medicare & Medicaid Services?
The Susan Elizabeth Soares has been issued the NPI (National Provider Identifier) 1457387557 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Susan Elizabeth Soares's physical address?
The Susan Elizabeth Soares is physically located at 1007 N Main St, in the city of Dayville, CT, with the postal code 62412170.
What is Susan Elizabeth Soares's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susan Elizabeth Soares's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457387557 to Susan Elizabeth Soares?
The Centers for Medicare & Medicaid Services assigned the 1457387557 to Susan Elizabeth Soares on 2006-06-23.
When was the Susan Elizabeth Soares's information last updated?
The Susan Elizabeth Soares's information was last updated on 2012-06-19.