Susan Rivchun Lager in Portsmouth - Clinical

Susan Rivchun Lager - NPI 1609917616

Susan Rivchun Lager is a Clinical in Portsmouth, New Hampshire. Susan Rivchun Lager practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Rivchun Lager is 1609917616. The last update date is 2008-04-24.

Susan Rivchun Lager's current location address is 118 Maplewood Ave, Portsmouth, New Hampshire. You can contact this provider via phone number 6034317131 and fax number 6034394113. The mailing address for Susan Rivchun Lager is 118 Maplewood Ave, Portsmouth, New Hampshire. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Rivchun Lager
Address 118 Maplewood Ave, Portsmouth, New Hampshire
Phone Number 6034317131
Fax Number 6034394113
Sole Proprietor N
Credentials LICSW

NPI Number Detail

NPI Number 1609917616
Provider Enumeration Date 2007-02-11
Last Updated Date 2008-04-24

Provider Mailing Address Detail

Address 118 Maplewood Ave
City Portsmouth
State New Hampshire (NH)
Post Code 38013787
Phone Number 6034317131
Fax Number 6034394113

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 202
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
1400525Y0NH01 NH PROVIDER ID# ANTHEMBCBS
613214400 MA FEDERAL WORKER'S COMPENSATION

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FAQs about Susan Rivchun Lager

What is the unique 10-digit identifier code assigned to Susan Rivchun Lager by the Centers for Medicare & Medicaid Services?

The Susan Rivchun Lager has been issued the NPI (National Provider Identifier) 1609917616 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Susan Rivchun Lager located?

The Susan Rivchun Lager is located at 118 Maplewood Ave, Portsmouth, NH 38013787.

What is Susan Rivchun Lager's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Susan Rivchun Lager is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1609917616 to Susan Rivchun Lager?

The Susan Rivchun Lager received its 1609917616 assignment from the Centers for Medicare & Medicaid Services on 2007-02-11.

As of what date were the details related to Susan Rivchun Lager most recently updated or revised?

The information pertaining to Susan Rivchun Lager, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-24.

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