Susan Rae Pacyga is a Clinical in Lakeville, Minnesota. Susan Rae Pacyga practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Rae Pacyga is 1831261742. The last update date is 2007-07-08.
Susan Rae Pacyga's current location address is 17305 Cedar Ave South, Lakeville, Minnesota. You can contact this provider via phone number 9524354144 and fax number 9524354149. The mailing address for Susan Rae Pacyga is 17305 Cedar Ave South, Lakeville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Rae Pacyga |
|---|---|
| Address | 17305 Cedar Ave South, Lakeville, Minnesota |
| Phone Number | 9524354144 |
| Fax Number | 9524354149 |
| Sole Proprietor | N |
| Credentials | LICSW LMFT |
NPI Number Detail
| NPI Number | 1831261742 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17305 Cedar Ave South |
|---|---|
| City | Lakeville |
| State | Minnesota (MN) |
| Post Code | 55044 |
| Phone Number | 9524354144 |
| Fax Number | 9524354149 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6673 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 552GPA | MN | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Rae Pacyga by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Rae Pacyga has been assigned the NPI (National Provider Identifier) 1831261742. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Susan Rae Pacyga is located?
The Susan Rae Pacyga is situated at the following address: 17305 Cedar Ave South, Lakeville, MN, 55044.
What is the Susan Rae Pacyga's area of specialization and corresponding taxonomy classification?
The Susan Rae Pacyga's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Susan Rae Pacyga receive its 1831261742 assignment from the Centers for Medicare & Medicaid Services?
The Susan Rae Pacyga was assigned its 1831261742 on 2006-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Susan Rae Pacyga most recently updated or revised?
The details related to Susan Rae Pacyga, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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