Susan R Austin is a Clinical in Bridgton, Maine. Susan R Austin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan R Austin is 1275700965. The last update date is 2008-05-12.
Susan R Austin's current location address is 32 N High St, Bridgton, Maine. You can contact this provider via phone number 2076475629 and fax number 2076475620. The mailing address for Susan R Austin is 32 N High St, Bridgton, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan R Austin |
|---|---|
| Address | 32 N High St, Bridgton, Maine |
| Phone Number | 2076475629 |
| Fax Number | 2076475620 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1275700965 |
|---|---|
| Provider Enumeration Date | 2008-05-12 |
| Last Updated Date | 2008-05-12 |
Provider Mailing Address Detail
| Address | 32 N High St |
|---|---|
| City | Bridgton |
| State | Maine (ME) |
| Post Code | 40091125 |
| Phone Number | 2076475629 |
| Fax Number | 2076475620 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC5308 |
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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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What is the unique identifier code issued to Susan R Austin by the Centers for Medicare & Medicaid Services (CMS)?
The Susan R Austin has been assigned the NPI (National Provider Identifier) 1275700965. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Susan R Austin's physical address?
The Susan R Austin is physically located at 32 N High St, in the city of Bridgton, ME, with the postal code 40091125.
What is the Susan R Austin's specialty and taxonomy code?
The Susan R Austin's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Susan R Austin receive the assignment of its 1275700965 from the Centers for Medicare & Medicaid Services?
The Susan R Austin was issued its 1275700965 by the Centers for Medicare & Medicaid Services on 2008-05-12.
As of what date were the Susan R Austin's details last updated?
The information pertaining to the Susan R Austin, including its address, specialty, and other details, was most recently updated on 2008-05-12.