Sujean Drake in Ludington - Clinical

Sujean Drake - NPI 1669408829

Sujean Drake is a Clinical in Ludington, Michigan. Sujean Drake practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sujean Drake is 1669408829. The last update date is 2011-11-22.

Sujean Drake's current location address is 239 N Jebavy Dr # A-3, Ludington, Michigan. You can contact this provider via phone number 2315789524 and fax number 2314254036. The mailing address for Sujean Drake is 239 N Jebavy Dr # A-3, Ludington, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Sujean Drake
Address 239 N Jebavy Dr # A-3, Ludington, Michigan
Phone Number 2315789524
Fax Number 2314254036
Sole Proprietor Y
Credentials LMSW

NPI Number Detail

NPI Number 1669408829
Provider Enumeration Date 2006-06-22
Last Updated Date 2011-11-22

Provider Mailing Address Detail

Address 239 N Jebavy Dr # A-3
City Ludington
State Michigan (MI)
Post Code 494312910
Phone Number 2315789524
Fax Number 2314254036

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801089667
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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FAQs about Sujean Drake

What is the unique identifier code issued to Sujean Drake by the Centers for Medicare & Medicaid Services (CMS)?

The Sujean Drake has been assigned the NPI (National Provider Identifier) 1669408829. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Sujean Drake located?

The Sujean Drake is located at 239 N Jebavy Dr # A-3, Ludington, MI 494312910.

What is Sujean Drake's specialized field of practice, and what is the corresponding taxonomy classification code?

The Sujean Drake's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date did the Sujean Drake receive its 1669408829 assignment from the Centers for Medicare & Medicaid Services?

The Sujean Drake was assigned its 1669408829 by the Centers for Medicare & Medicaid Services on 2006-06-22.

As of what date was the information regarding Sujean Drake, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Sujean Drake, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-22.

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