Susannah Burke is a Clinical in Albuquerque, New Mexico. Susannah Burke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susannah Burke is 1104982727. The last update date is 2007-07-08.
Susannah Burke's current location address is 1101 Lopez Rd Sw, Albuquerque, New Mexico. You can contact this provider via phone number 5058777060 and fax number 5058777063. The mailing address for Susannah Burke is 1101 Lopez Rd Sw, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susannah Burke |
|---|---|
| Address | 1101 Lopez Rd Sw, Albuquerque, New Mexico |
| Phone Number | 5058777060 |
| Fax Number | 5058777063 |
| Sole Proprietor | N |
| Credentials | MS, MSW,LI |
NPI Number Detail
| NPI Number | 1104982727 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1101 Lopez Rd Sw |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871053954 |
| Phone Number | 5058777060 |
| Fax Number | 5058777063 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I-06214 |
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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 identification code assigned to Susannah Burke by the Centers for Medicare & Medicaid Services?
The Susannah Burke has been issued the NPI (National Provider Identifier) 1104982727. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susannah Burke?
The Susannah Burke is physically situated at 1101 Lopez Rd Sw, in the city of Albuquerque, state of NM, with the postal code 871053954.
What is Susannah Burke's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susannah Burke'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 1104982727 to Susannah Burke?
The Centers for Medicare & Medicaid Services originally issued the 1104982727 to Susannah Burke on 2006-12-28.
As of what date were the details pertaining to Susannah Burke last refreshed?
The information related to the Susannah Burke, including its address, specialty, and other relevant details, was last updated on 2007-07-08.