Susan Mcculloch is a Clinical in Jacksonville, Florida. Susan Mcculloch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Mcculloch is 1033139332. The last update date is 2007-07-08.
Susan Mcculloch's current location address is 3810-3 Williamsburg Park Blvd, Jacksonville, Florida. You can contact this provider via phone number 9044196102 and fax number 9047392153. The mailing address for Susan Mcculloch is 3810-3 Williamsburg Park Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Mcculloch |
|---|---|
| Address | 3810-3 Williamsburg Park Blvd, Jacksonville, Florida |
| Phone Number | 9044196102 |
| Fax Number | 9047392153 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1033139332 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3810-3 Williamsburg Park Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322579220 |
| Phone Number | 9044196102 |
| Fax Number | 9047392153 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW1539 |
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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 |
|---|---|---|---|
| 7427006 | FL | AETNA | |
| Z1307 | FL | BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan Mcculloch by the Centers for Medicare & Medicaid Services?
The Susan Mcculloch has been assigned the NPI (National Provider Identifier) 1033139332 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Susan Mcculloch located?
The Susan Mcculloch is located at 3810-3 Williamsburg Park Blvd, Jacksonville, FL 322579220.
What is Susan Mcculloch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan Mcculloch is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Susan Mcculloch receive the assignment of its 1033139332 from the Centers for Medicare & Medicaid Services?
The Susan Mcculloch was issued its 1033139332 by the Centers for Medicare & Medicaid Services on 2006-07-20.
As of what date was the information regarding Susan Mcculloch, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan Mcculloch, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.