Sue A Puff is a Clinical in Fort Wayne, Indiana. Sue A Puff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sue A Puff is 1245391739. The last update date is 2007-07-08.
Sue A Puff's current location address is 2200 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604240411 and fax number 2604243530. The mailing address for Sue A Puff is 2200 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sue A Puff |
|---|---|
| Address | 2200 Lake Ave, Fort Wayne, Indiana |
| Phone Number | 2604240411 |
| Fax Number | 2604243530 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1245391739 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2200 Lake Ave |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468055397 |
| Phone Number | 2604240411 |
| Fax Number | 2604243530 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34003392A |
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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 |
|---|---|---|---|
| 182397 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Sue A Puff by the Centers for Medicare & Medicaid Services?
The Sue A Puff has been assigned the NPI (National Provider Identifier) 1245391739. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Sue A Puff's facilities are situated?
The facilities of Sue A Puff are physically located at the following address: 2200 Lake Ave, Fort Wayne, IN, 468055397.
What is Sue A Puff's area of expertise and its corresponding taxonomy classification?
The Sue A Puff's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1245391739 to Sue A Puff?
The Sue A Puff received its 1245391739 assignment from the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date were the Sue A Puff's details last updated?
The information pertaining to the Sue A Puff, including its address, specialty, and other details, was most recently updated on 2007-07-08.