Susan Marie Davis in St Louis Park - Clinical
Susan Marie Davis - NPI 1598855371
Susan Marie Davis is a Clinical in St Louis Park, Minnesota. Susan Marie Davis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Marie Davis is 1598855371. The last update date is 2007-07-09.
Susan Marie Davis's current location address is 5219 Wayzata Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9525446806 and fax number 9525450098. The mailing address for Susan Marie Davis is 5219 Wayzata Blvd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Marie Davis |
|---|---|
| Address | 5219 Wayzata Blvd, St Louis Park, Minnesota |
| Phone Number | 9525446806 |
| Fax Number | 9525450098 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1598855371 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 5219 Wayzata Blvd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554161301 |
| Phone Number | 9525446806 |
| Fax Number | 9525450098 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6512 |
|
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 |
|---|---|---|---|
| HP40253 | MN | HEALTH PARTNERS | |
| 131558 | MN | UCARE | |
| 62-78790 | MN | MEDICA | |
| 5G670DA | MN | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Marie Davis?
The Susan Marie Davis has been issued the NPI (National Provider Identifier) 1598855371 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Susan Marie Davis is physically located?
The Susan Marie Davis is physically situated at the following address: 5219 Wayzata Blvd, St Louis Park, MN, 554161301.
What is the Susan Marie Davis's specialty and taxonomy code?
The Susan Marie Davis's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Susan Marie Davis receive its 1598855371 assignment from the Centers for Medicare & Medicaid Services?
The Susan Marie Davis was assigned its 1598855371 on 2006-10-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Susan Marie Davis most recently updated?
The details pertaining to the Susan Marie Davis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.