Susan Boyd Streeter in Boston - Clinical
Susan Boyd Streeter - NPI 1003936162
Susan Boyd Streeter is a Clinical in Boston, Massachusetts. Susan Boyd Streeter practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Boyd Streeter is 1003936162. The last update date is 2007-07-08.
Susan Boyd Streeter's current location address is 55 Fruit St, Boston, Massachusetts. You can contact this provider via phone number 6176433590 and fax number 6177241800. The mailing address for Susan Boyd Streeter is 55 Fruit St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Boyd Streeter |
|---|---|
| Address | 55 Fruit St, Boston, Massachusetts |
| Phone Number | 6176433590 |
| Fax Number | 6177241800 |
| Sole Proprietor | Y |
| Credentials | L.I.C.S.W. |
NPI Number Detail
| NPI Number | 1003936162 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 Fruit St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21142621 |
| Phone Number | 6176433590 |
| Fax Number | 6177241800 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 102996 |
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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 |
|---|---|---|---|
| 102996 | MA | MASS SOCIAL WORK LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Boyd Streeter by the Centers for Medicare & Medicaid Services?
The Susan Boyd Streeter has been assigned the NPI (National Provider Identifier) 1003936162. 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 provide the complete street address where Susan Boyd Streeter is physically located?
The Susan Boyd Streeter is physically situated at the following address: 55 Fruit St, Boston, MA, 21142621.
What is Susan Boyd Streeter's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Boyd Streeter is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did Susan Boyd Streeter receive its 1003936162 assignment from the Centers for Medicare & Medicaid Services?
The Susan Boyd Streeter was assigned its 1003936162 on 2007-03-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Susan Boyd Streeter most recently updated or revised?
The details related to Susan Boyd Streeter, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1902809924
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