Susan E.L. Malcolm in Portland - Clinical
Susan E.L. Malcolm - NPI 1548371990
Susan E.L. Malcolm is a Clinical in Portland, Maine. Susan E.L. Malcolm practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan E.L. Malcolm is 1548371990. The last update date is 2019-08-21.
Susan E.L. Malcolm's current location address is 1321 Washington Ave Ste 312, Portland, Maine. You can contact this provider via phone number 2074235546. The mailing address for Susan E.L. Malcolm is 1321 Washington Ave Ste 312, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan E.L. Malcolm |
|---|---|
| Address | 1321 Washington Ave Ste 312, Portland, Maine |
| Phone Number | 2074235546 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1548371990 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2019-08-21 |
Provider Mailing Address Detail
| Address | 1321 Washington Ave Ste 312 |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41033675 |
| Phone Number | 2074235546 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC7270 |
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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 |
|---|---|---|---|
| 298650099 | ME | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Susan E.L. Malcolm by the Centers for Medicare & Medicaid Services?
The Susan E.L. Malcolm has been issued the NPI (National Provider Identifier) 1548371990. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Susan E.L. Malcolm is physically located?
The Susan E.L. Malcolm is physically situated at the following address: 1321 Washington Ave Ste 312, Portland, ME, 41033675.
What is Susan E.L. Malcolm's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan E.L. Malcolm's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548371990 to Susan E.L. Malcolm?
The Centers for Medicare & Medicaid Services assigned the 1548371990 to Susan E.L. Malcolm on 2006-08-31.
As of what date was the information regarding Susan E.L. Malcolm, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan E.L. Malcolm, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-08-21.