Susan Kelly Soctomah in Bangor - Clinical
Susan Kelly Soctomah - NPI 1689885626
Susan Kelly Soctomah is a Clinical in Bangor, Maine. Susan Kelly Soctomah practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Kelly Soctomah is 1689885626. The last update date is 2019-11-20.
Susan Kelly Soctomah's current location address is 42 Cedar St, Bangor, Maine. You can contact this provider via phone number 2079470366. The mailing address for Susan Kelly Soctomah is 42 Cedar St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Kelly Soctomah |
|---|---|
| Address | 42 Cedar St, Bangor, Maine |
| Phone Number | 2079470366 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1689885626 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2019-11-20 |
Provider Mailing Address Detail
| Address | 42 Cedar St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44016433 |
| Phone Number | 2079470366 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC5210 |
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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 |
|---|---|---|---|
| 325750099 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Kelly Soctomah by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Kelly Soctomah has been assigned the NPI (National Provider Identifier) 1689885626. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Susan Kelly Soctomah is geographically located?
The Susan Kelly Soctomah is physically situated at the following location: 42 Cedar St, Bangor, ME, 44016433.
What is Susan Kelly Soctomah's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan Kelly Soctomah is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689885626 to Susan Kelly Soctomah?
The Centers for Medicare & Medicaid Services assigned the 1689885626 to Susan Kelly Soctomah on 2007-05-24.
As of what date were the details related to Susan Kelly Soctomah most recently updated or revised?
The information pertaining to Susan Kelly Soctomah, including its address, specialty, and other relevant details, was last updated or revised on 2019-11-20.
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