Sue Bace is a Clinical in Omaha, Nebraska. Sue Bace practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sue Bace is 1235222621. The last update date is 2007-07-09.
Sue Bace's current location address is 8021 Chicago St, Omaha, Nebraska. You can contact this provider via phone number 4025021024 and fax number 4025021555. The mailing address for Sue Bace is 8021 Chicago St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sue Bace |
|---|---|
| Address | 8021 Chicago St, Omaha, Nebraska |
| Phone Number | 4025021024 |
| Fax Number | 4025021555 |
| Sole Proprietor | Y |
| Credentials | LCSW/LMHP |
NPI Number Detail
| NPI Number | 1235222621 |
|---|---|
| Provider Enumeration Date | 2006-09-30 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 8021 Chicago St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681143533 |
| Phone Number | 4025021024 |
| Fax Number | 4025021555 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 733 |
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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 |
|---|---|---|---|
| 10025200300 | NE | -- | |
| 85251 | NE | BC/BS IDENTIFICATION NUMB |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sue Bace by the Centers for Medicare & Medicaid Services?
The Sue Bace has been issued the NPI (National Provider Identifier) 1235222621, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Sue Bace located?
The Sue Bace is located at 8021 Chicago St, Omaha, NE 681143533.
What is Sue Bace's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sue Bace is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Sue Bace receive the assignment of its 1235222621 from the Centers for Medicare & Medicaid Services?
The Sue Bace was issued its 1235222621 by the Centers for Medicare & Medicaid Services on 2006-09-30.
As of what date were the details related to Sue Bace most recently updated or revised?
The information pertaining to Sue Bace, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.