Susan Jean Healy is a Clinical in Brockton, Massachusetts. Susan Jean Healy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Jean Healy is 1275697583. The last update date is 2007-07-08.
Susan Jean Healy's current location address is 15 A Bolton Place, Brockton, Massachusetts. You can contact this provider via phone number 5085831875 and fax number 5085844328. The mailing address for Susan Jean Healy is 15 A Bolton Place, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Jean Healy |
|---|---|
| Address | 15 A Bolton Place, Brockton, Massachusetts |
| Phone Number | 5085831875 |
| Fax Number | 5085844328 |
| Sole Proprietor | N |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1275697583 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 A Bolton Place |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23015316 |
| Phone Number | 5085831875 |
| Fax Number | 5085844328 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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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What is the Susan Jean Healy's 1275697583?
The Susan Jean Healy's NPI (National Provider Identifier) Number is 1275697583. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Susan Jean Healy located?
The Susan Jean Healy is located at 15 A Bolton Place, Brockton, MA 23015316.
What is the Susan Jean Healy's specialty and taxonomy code?
The Susan Jean Healy's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Susan Jean Healy receive its 1275697583 assignment from the Centers for Medicare & Medicaid Services?
The Susan Jean Healy was assigned its 1275697583 by the Centers for Medicare & Medicaid Services on 2006-12-21.
When was the Susan Jean Healy's information last updated?
The Susan Jean Healy's information was last updated on 2007-07-08.