Susan J Mccammon in Woodbury - Clinical

Susan J Mccammon - NPI 1699728816

Susan J Mccammon is a Clinical in Woodbury, Minnesota. Susan J Mccammon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan J Mccammon is 1699728816. The last update date is 2018-09-24.

Susan J Mccammon's current location address is 1811 Weir Dr Ste 270, Woodbury, Minnesota. You can contact this provider via phone number 6517149646 and fax number 6517149647. The mailing address for Susan J Mccammon is 1811 Weir Dr Ste 270, Woodbury, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan J Mccammon
Address 1811 Weir Dr Ste 270, Woodbury, Minnesota
Phone Number 6517149646
Fax Number 6517149647
Sole Proprietor N
Credentials LICSW, MA

NPI Number Detail

NPI Number 1699728816
Provider Enumeration Date 2006-05-18
Last Updated Date 2018-09-24

Provider Mailing Address Detail

Address 1811 Weir Dr Ste 270
City Woodbury
State Minnesota (MN)
Post Code 5512567410
Phone Number 6517149646
Fax Number 6517149647

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 7573
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
867857000 MN --
5886611 AETNA
62-60241 MEDICA
1013342 PREFERRED ONE
127605 MN U-CARE
855661013342 PREFERREDONE ADMINISTRATI
61Q70SI BLUE CROSS/BLUE SHIELD

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FAQs about Susan J Mccammon

What is the unique identifier code issued to Susan J Mccammon by the Centers for Medicare & Medicaid Services (CMS)?

The Susan J Mccammon has been assigned the NPI (National Provider Identifier) 1699728816. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Susan J Mccammon?

The Susan J Mccammon is physically situated at 1811 Weir Dr Ste 270, in the city of Woodbury, state of MN, with the postal code 5512567410.

What is Susan J Mccammon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Susan J Mccammon is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

When was the Susan J Mccammon's 1699728816 issued?

The Susan J Mccammon's 1699728816 was issued on 2006-05-18.

When was the information regarding Susan J Mccammon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Susan J Mccammon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-09-24.

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