Susan Bergen is a Clinical in Lakewood, New Jersey. Susan Bergen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Bergen is 1083897797. The last update date is 2007-12-17.
Susan Bergen's current location address is 761 River Ave, Lakewood, New Jersey. You can contact this provider via phone number 8002753243 and fax number 8002753671. The mailing address for Susan Bergen is 761 River Ave, Lakewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Bergen |
|---|---|
| Address | 761 River Ave, Lakewood, New Jersey |
| Phone Number | 8002753243 |
| Fax Number | 8002753671 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1083897797 |
|---|---|
| Provider Enumeration Date | 2007-12-17 |
| Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
| Address | 761 River Ave |
|---|---|
| City | Lakewood |
| State | New Jersey (NJ) |
| Post Code | 87015200 |
| Phone Number | 8002753243 |
| Fax Number | 8002753671 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC05292400 |
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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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What is the unique provider identifier assigned to Susan Bergen?
The Susan Bergen has been issued the NPI (National Provider Identifier) 1083897797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Susan Bergen?
The Susan Bergen is situated at 761 River Ave, in the city of Lakewood, state of NJ, with the zip code 87015200.
What is Susan Bergen's area of expertise and its corresponding taxonomy classification?
The Susan Bergen's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Susan Bergen receive its 1083897797 assignment from the Centers for Medicare & Medicaid Services?
The Susan Bergen was assigned its 1083897797 on 2007-12-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Susan Bergen last refreshed?
The information related to the Susan Bergen, including its address, specialty, and other relevant details, was last updated on 2007-12-17.
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