Susan Mary Gubilee in Portland - Clinical
Susan Mary Gubilee - NPI 1861667776
Susan Mary Gubilee is a Clinical in Portland, Connecticut. Susan Mary Gubilee practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Mary Gubilee is 1861667776. The last update date is 2008-04-23.
Susan Mary Gubilee's current location address is 11 Russell Ave, Portland, Connecticut. You can contact this provider via phone number 8603424079. The mailing address for Susan Mary Gubilee is 11 Russell Ave, Portland, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Mary Gubilee |
|---|---|
| Address | 11 Russell Ave, Portland, Connecticut |
| Phone Number | 8603424079 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, MSW |
NPI Number Detail
| NPI Number | 1861667776 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
| Address | 11 Russell Ave |
|---|---|
| City | Portland |
| State | Connecticut (CT) |
| Post Code | 64801433 |
| Phone Number | 8603424079 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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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Post Comment/ Review Below
What is the Susan Mary Gubilee's 1861667776?
The Susan Mary Gubilee's NPI (National Provider Identifier) Number is 1861667776. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Susan Mary Gubilee?
The Susan Mary Gubilee is situated at 11 Russell Ave, in the city of Portland, state of CT, with the zip code 64801433.
What is Susan Mary Gubilee's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Mary Gubilee's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Susan Mary Gubilee receive its 1861667776 assignment?
The Susan Mary Gubilee was assigned its 1861667776 on 2008-04-23, which is the date when this unique identifier was issued to the organization.
As of what date were the Susan Mary Gubilee's details last updated?
The information pertaining to the Susan Mary Gubilee, including its address, specialty, and other details, was most recently updated on 2008-04-23.