Susan Marie Tielker-Sharpe in Ft Wayne - Clinical
Susan Marie Tielker-Sharpe - NPI 1871537753
Susan Marie Tielker-Sharpe is a Clinical in Ft Wayne, Indiana. Susan Marie Tielker-Sharpe practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Marie Tielker-Sharpe is 1871537753. The last update date is 2013-03-19.
Susan Marie Tielker-Sharpe's current location address is 4656 W Jefferson Blvd, Ft Wayne, Indiana. You can contact this provider via phone number 2604229372 and fax number 2604220843. The mailing address for Susan Marie Tielker-Sharpe is 4656 W Jefferson Blvd, Ft Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Marie Tielker-Sharpe |
|---|---|
| Address | 4656 W Jefferson Blvd, Ft Wayne, Indiana |
| Phone Number | 2604229372 |
| Fax Number | 2604220843 |
| Sole Proprietor | N |
| Credentials | LCSW LMFT |
NPI Number Detail
| NPI Number | 1871537753 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2013-03-19 |
Provider Mailing Address Detail
| Address | 4656 W Jefferson Blvd |
|---|---|
| City | Ft Wayne |
| State | Indiana (IN) |
| Post Code | 46804 |
| Phone Number | 2604229372 |
| Fax Number | 2604220843 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34000886A |
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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 |
|---|---|---|---|
| 150990000 | IN | MAGELLAN | |
| 299295 | IN | ANTHEM | |
| 4352922 | IN | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Susan Marie Tielker-Sharpe by the Centers for Medicare & Medicaid Services?
The Susan Marie Tielker-Sharpe has been assigned the NPI (National Provider Identifier) 1871537753 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Susan Marie Tielker-Sharpe is physically located?
The Susan Marie Tielker-Sharpe is situated at the following address: 4656 W Jefferson Blvd, Ft Wayne, IN 46804.
What is Susan Marie Tielker-Sharpe's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Marie Tielker-Sharpe's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Susan Marie Tielker-Sharpe receive the assignment of its 1871537753 from the Centers for Medicare & Medicaid Services?
The Susan Marie Tielker-Sharpe was issued its 1871537753 by the Centers for Medicare & Medicaid Services on 2006-06-15.
When was the information related to Susan Marie Tielker-Sharpe most recently updated or refreshed?
The details pertaining to the Susan Marie Tielker-Sharpe, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-03-19.