Susan M St. Ville in South Bend - Clinical

Susan M St. Ville - NPI 1750320230

Susan M St. Ville is a Clinical in South Bend, Indiana. Susan M St. Ville practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan M St. Ville is 1750320230. The last update date is 2007-07-08.

Susan M St. Ville's current location address is 1101 Riverside Dr, South Bend, Indiana. You can contact this provider via phone number 5742886732. The mailing address for Susan M St. Ville is 1101 Riverside Dr, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan M St. Ville
Address 1101 Riverside Dr, South Bend, Indiana
Phone Number 5742886732
Fax Number
Sole Proprietor X
Credentials PH.D., MSW

NPI Number Detail

NPI Number 1750320230
Provider Enumeration Date 2006-06-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1101 Riverside Dr
City South Bend
State Indiana (IN)
Post Code 466161510
Phone Number 5742886732
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 34005158A
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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FAQs about Susan M St. Ville

What is the unique identification code assigned to Susan M St. Ville by the Centers for Medicare & Medicaid Services?

The Susan M St. Ville has been issued the NPI (National Provider Identifier) 1750320230. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Susan M St. Ville's physical address?

The Susan M St. Ville is physically located at 1101 Riverside Dr, in the city of South Bend, IN, with the postal code 466161510.

What is Susan M St. Ville's area of expertise and its corresponding taxonomy classification?

The Susan M St. Ville's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.

When did the Susan M St. Ville receive its 1750320230?

The Susan M St. Ville was issued its 1750320230 on 2006-06-06, which is the date when the organization was assigned this unique identifier.

When was the information related to Susan M St. Ville most recently updated or refreshed?

The details pertaining to the Susan M St. Ville, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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