Susanne Annette Short in Jemez Springs - Clinical
Susanne Annette Short - NPI 1639349020
Susanne Annette Short is a Clinical in Jemez Springs, New Mexico. Susanne Annette Short practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susanne Annette Short is 1639349020. The last update date is 2022-10-03.
Susanne Annette Short's current location address is Po Box 573, Jemez Springs, New Mexico. You can contact this provider via phone number 6125052694. The mailing address for Susanne Annette Short is Po Box 573, Jemez Springs, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susanne Annette Short |
|---|---|
| Address | Po Box 573, Jemez Springs, New Mexico |
| Phone Number | 6125052694 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1639349020 |
|---|---|
| Provider Enumeration Date | 2008-03-03 |
| Last Updated Date | 2022-10-03 |
Provider Mailing Address Detail
| Address | Po Box 573 |
|---|---|
| City | Jemez Springs |
| State | New Mexico (NM) |
| Post Code | 870250573 |
| Phone Number | 6125052694 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 9928374 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Susanne Annette Short by the Centers for Medicare & Medicaid Services?
The Susanne Annette Short has been assigned the NPI (National Provider Identifier) 1639349020 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Susanne Annette Short is physically located?
The Susanne Annette Short is physically situated at the following address: Po Box 573, Jemez Springs, NM, 870250573.
What is Susanne Annette Short's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susanne Annette Short is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Susanne Annette Short receive its 1639349020 assignment from the Centers for Medicare & Medicaid Services?
The Susanne Annette Short was assigned its 1639349020 by the Centers for Medicare & Medicaid Services on 2008-03-03.
As of what date were the details related to Susanne Annette Short most recently updated or revised?
The information pertaining to Susanne Annette Short, including its address, specialty, and other relevant details, was last updated or revised on 2022-10-03.
NPI Number: 1467434399
Address: 6502 Nursery Dr. Suite 100, Victoria, TX