Diane Brasher Sullivan in Hagerstown - Clinical
Diane Brasher Sullivan - NPI 1083701445
Diane Brasher Sullivan is a Clinical in Hagerstown, Maryland. Diane Brasher Sullivan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane Brasher Sullivan is 1083701445. The last update date is 2011-03-14.
Diane Brasher Sullivan's current location address is 11116 Medical Campus Rd, Hagerstown, Maryland. You can contact this provider via phone number 3017667600 and fax number 3017664976. The mailing address for Diane Brasher Sullivan is 11116 Medical Campus Rd, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Brasher Sullivan |
|---|---|
| Address | 11116 Medical Campus Rd, Hagerstown, Maryland |
| Phone Number | 3017667600 |
| Fax Number | 3017664976 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1083701445 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2011-03-14 |
Provider Mailing Address Detail
| Address | 11116 Medical Campus Rd |
|---|---|
| City | Hagerstown |
| State | Maryland (MD) |
| Post Code | 217426710 |
| Phone Number | 3017667600 |
| Fax Number | 3017664976 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7726 |
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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 |
|---|---|---|---|
| 509904 | MD | PHCS | |
| 395600 | MD | -- | |
| 91951 | MD | VALUE OPTIONS | |
| 7163302 | MD | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Diane Brasher Sullivan by the Centers for Medicare & Medicaid Services?
The Diane Brasher Sullivan has been assigned the NPI (National Provider Identifier) 1083701445. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Diane Brasher Sullivan is geographically located?
The Diane Brasher Sullivan is physically situated at the following location: 11116 Medical Campus Rd, Hagerstown, MD, 217426710.
What is Diane Brasher Sullivan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Diane Brasher Sullivan'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 originally issue the 1083701445 to Diane Brasher Sullivan?
The Centers for Medicare & Medicaid Services originally issued the 1083701445 to Diane Brasher Sullivan on 2006-10-06.
As of what date was the information pertaining to Diane Brasher Sullivan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Diane Brasher Sullivan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-03-14.