Susan Stewart Whiteaker in Prior Lake - Clinical

Susan Stewart Whiteaker - NPI 1881730430

Susan Stewart Whiteaker is a Clinical in Prior Lake, Minnesota. Susan Stewart Whiteaker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Stewart Whiteaker is 1881730430. The last update date is 2007-07-08.

Susan Stewart Whiteaker's current location address is 8663 Oak Hill Cir, Prior Lake, Minnesota. You can contact this provider via phone number 6129918997 and fax number 6127133992. The mailing address for Susan Stewart Whiteaker is 8663 Oak Hill Cir, Prior Lake, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Stewart Whiteaker
Address 8663 Oak Hill Cir, Prior Lake, Minnesota
Phone Number 6129918997
Fax Number 6127133992
Sole Proprietor N
Credentials LICSW

NPI Number Detail

NPI Number 1881730430
Provider Enumeration Date 2007-01-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8663 Oak Hill Cir
City Prior Lake
State Minnesota (MN)
Post Code 553729187
Phone Number 6129918997
Fax Number 6127133992

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 11771
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 Susan Stewart Whiteaker

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

The Susan Stewart Whiteaker has been assigned the NPI (National Provider Identifier) 1881730430. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Susan Stewart Whiteaker's physical address?

The Susan Stewart Whiteaker is physically located at 8663 Oak Hill Cir, in the city of Prior Lake, MN, with the postal code 553729187.

What is Susan Stewart Whiteaker's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Susan Stewart Whiteaker is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date was the 1881730430 assigned to Susan Stewart Whiteaker?

The Susan Stewart Whiteaker was issued its 1881730430 on 2007-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Susan Stewart Whiteaker's details last updated?

The information pertaining to the Susan Stewart Whiteaker, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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