Susan Michelle Wilson in Pembroke - Clinical
Susan Michelle Wilson - NPI 1972710861
Susan Michelle Wilson is a Clinical in Pembroke, Massachusetts. Susan Michelle Wilson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Michelle Wilson is 1972710861. The last update date is 2007-07-08.
Susan Michelle Wilson's current location address is 24 Champion Way, Pembroke, Massachusetts. You can contact this provider via phone number 7812936613. The mailing address for Susan Michelle Wilson is 24 Champion Way, Pembroke, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Michelle Wilson |
|---|---|
| Address | 24 Champion Way, Pembroke, Massachusetts |
| Phone Number | 7812936613 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1972710861 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 24 Champion Way |
|---|---|
| City | Pembroke |
| State | Massachusetts (MA) |
| Post Code | 23592637 |
| Phone Number | 7812936613 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 107040 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan Michelle Wilson by the Centers for Medicare & Medicaid Services?
The Susan Michelle Wilson has been issued the NPI (National Provider Identifier) 1972710861, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susan Michelle Wilson?
The Susan Michelle Wilson is physically situated at 24 Champion Way, in the city of Pembroke, state of MA, with the postal code 23592637.
What is the area of specialization for Susan Michelle Wilson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan Michelle Wilson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did the Susan Michelle Wilson receive its 1972710861?
The Susan Michelle Wilson was issued its 1972710861 on 2007-05-17, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Susan Michelle Wilson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan Michelle Wilson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.