Susan Ross is a Clinical in Indianapolis, Indiana. Susan Ross practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Ross is 1710069539. The last update date is 2016-12-20.
Susan Ross's current location address is 5748 Brockton Ct, Indianapolis, Indiana. You can contact this provider via phone number 3179464839. The mailing address for Susan Ross is 5748 Brockton Ct, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Ross |
|---|---|
| Address | 5748 Brockton Ct, Indianapolis, Indiana |
| Phone Number | 3179464839 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1710069539 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2016-12-20 |
Provider Mailing Address Detail
| Address | 5748 Brockton Ct |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462207420 |
| Phone Number | 3179464839 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34005295A |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100270530A | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Ross?
The Susan Ross has been issued the NPI (National Provider Identifier) 1710069539 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Susan Ross's facilities are situated?
The facilities of Susan Ross are physically located at the following address: 5748 Brockton Ct, Indianapolis, IN, 462207420.
What is the area of specialization for Susan Ross, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan Ross is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1710069539 to Susan Ross?
The Centers for Medicare & Medicaid Services assigned the 1710069539 to Susan Ross on 2006-10-20.
As of what date was the information pertaining to Susan Ross, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan Ross, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-12-20.