Susan Burkhardt is a Clinical in Evanston, Illinois. Susan Burkhardt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Burkhardt is 1023112067. The last update date is 2007-07-08.
Susan Burkhardt's current location address is 1005 Mulford St, Evanston, Illinois. You can contact this provider via phone number 8473288207. The mailing address for Susan Burkhardt is 1005 Mulford St, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Burkhardt |
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Address | 1005 Mulford St, Evanston, Illinois |
Phone Number | 8473288207 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1023112067 |
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Provider Enumeration Date | 2006-09-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1005 Mulford St |
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City | Evanston |
State | Illinois (IL) |
Post Code | 602023316 |
Phone Number | 8473288207 |
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 provider identifier assigned to Susan Burkhardt?
The Susan Burkhardt has been issued the NPI (National Provider Identifier) 1023112067 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Susan Burkhardt is located?
The Susan Burkhardt is situated at the following address: 1005 Mulford St, Evanston, IL, 602023316.
What is Susan Burkhardt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susan Burkhardt's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did Susan Burkhardt receive its 1023112067 assignment from the Centers for Medicare & Medicaid Services?
The Susan Burkhardt was assigned its 1023112067 on 2006-09-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Susan Burkhardt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susan Burkhardt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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