Susan Joan Bourbin is a Clinical in Commack, New York. Susan Joan Bourbin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Joan Bourbin is 1700958212. The last update date is 2007-07-08.
Susan Joan Bourbin's current location address is 95 Tulipwood Dr, Commack, New York. You can contact this provider via phone number 6318542552 and fax number 6318542550. The mailing address for Susan Joan Bourbin is 95 Tulipwood Dr, Commack, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Joan Bourbin |
|---|---|
| Address | 95 Tulipwood Dr, Commack, New York |
| Phone Number | 6318542552 |
| Fax Number | 6318542550 |
| Sole Proprietor | Y |
| Credentials | LACSW-R |
NPI Number Detail
| NPI Number | 1700958212 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 95 Tulipwood Dr |
|---|---|
| City | Commack |
| State | New York (NY) |
| Post Code | 117255625 |
| Phone Number | 6318542552 |
| Fax Number | 6318542550 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | RO49752-1 |
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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 |
|---|---|---|---|
| RO49752-1 | NY | SW LICENSE # |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan Joan Bourbin by the Centers for Medicare & Medicaid Services?
The Susan Joan Bourbin has been assigned the NPI (National Provider Identifier) 1700958212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Susan Joan Bourbin located?
The Susan Joan Bourbin is located at 95 Tulipwood Dr, Commack, NY 117255625.
What is Susan Joan Bourbin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Joan Bourbin'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 issue the 1700958212 to Susan Joan Bourbin?
The Susan Joan Bourbin received its 1700958212 assignment from the Centers for Medicare & Medicaid Services on 2006-11-14.
When was the information regarding Susan Joan Bourbin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susan Joan Bourbin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.