Kristin Suydam is a Clinical in Nutley, New Jersey. Kristin Suydam practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kristin Suydam is 1558529735. The last update date is 2008-05-25.
Kristin Suydam's current location address is 145 Vreeland Ave, Nutley, New Jersey. You can contact this provider via phone number 9732351212 and fax number 9732351527. The mailing address for Kristin Suydam is 145 Vreeland Ave, Nutley, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristin Suydam |
|---|---|
| Address | 145 Vreeland Ave, Nutley, New Jersey |
| Phone Number | 9732351212 |
| Fax Number | 9732351527 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1558529735 |
|---|---|
| Provider Enumeration Date | 2008-05-25 |
| Last Updated Date | 2008-05-25 |
Provider Mailing Address Detail
| Address | 145 Vreeland Ave |
|---|---|
| City | Nutley |
| State | New Jersey (NJ) |
| Post Code | 71101618 |
| Phone Number | 9732351212 |
| Fax Number | 9732351527 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC04318600 |
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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 10-digit identifier code assigned to Kristin Suydam by the Centers for Medicare & Medicaid Services?
The Kristin Suydam has been issued the NPI (National Provider Identifier) 1558529735 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kristin Suydam?
The Kristin Suydam is physically situated at 145 Vreeland Ave, in the city of Nutley, state of NJ, with the postal code 71101618.
What is Kristin Suydam's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kristin Suydam's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558529735 to Kristin Suydam?
The Centers for Medicare & Medicaid Services originally issued the 1558529735 to Kristin Suydam on 2008-05-25.
As of what date was the information regarding Kristin Suydam, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kristin Suydam, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-25.
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