Susan Hanks in Poplar Bluff - Clinical

Susan Hanks - NPI 1497935258

Susan Hanks is a Clinical in Poplar Bluff, Missouri. Susan Hanks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Hanks is 1497935258. The last update date is 2023-10-30.

Susan Hanks's current location address is 3001 Warrior Ln, Poplar Bluff, Missouri. You can contact this provider via phone number 5736861200 and fax number 5736861029. The mailing address for Susan Hanks is 3001 Warrior Ln, Poplar Bluff, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Hanks
Address 3001 Warrior Ln, Poplar Bluff, Missouri
Phone Number 5736861200
Fax Number 5736861029
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1497935258
Provider Enumeration Date 2007-11-09
Last Updated Date 2023-10-30

Provider Mailing Address Detail

Address 3001 Warrior Ln
City Poplar Bluff
State Missouri (MO)
Post Code 639018685
Phone Number 5736861200
Fax Number 5736861029

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2007027916
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
11795658 CAQH
494476104 MO --

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FAQs about Susan Hanks

What is the unique 10-digit identifier code assigned to Susan Hanks by the Centers for Medicare & Medicaid Services?

The Susan Hanks has been issued the NPI (National Provider Identifier) 1497935258 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Susan Hanks is located?

The Susan Hanks is situated at the following address: 3001 Warrior Ln, Poplar Bluff, MO, 639018685.

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

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

On what date did the Susan Hanks receive its 1497935258 assignment from the Centers for Medicare & Medicaid Services?

The Susan Hanks was assigned its 1497935258 by the Centers for Medicare & Medicaid Services on 2007-11-09.

When was the information pertaining to Susan Hanks most recently updated or revised?

The details related to Susan Hanks, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-30.

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