Suzanne J Ennis is a Clinical in Setauket, New York. Suzanne J Ennis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Suzanne J Ennis is 1912914383. The last update date is 2007-07-08.
Suzanne J Ennis's current location address is 5 Blueberry Ridge Rd, Setauket, New York. You can contact this provider via phone number 6316898578 and fax number 6316898578. The mailing address for Suzanne J Ennis is 5 Blueberry Ridge Rd, Setauket, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne J Ennis |
|---|---|
| Address | 5 Blueberry Ridge Rd, Setauket, New York |
| Phone Number | 6316898578 |
| Fax Number | 6316898578 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1912914383 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5 Blueberry Ridge Rd |
|---|---|
| City | Setauket |
| State | New York (NY) |
| Post Code | 117331503 |
| Phone Number | 6316898578 |
| Fax Number | 6316898578 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | PR026735 |
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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 |
|---|---|---|---|
| 8022 | NY | VALUE OPTIONS | |
| 8022 | NY | GHI | |
| 1658364 | NY | -- | |
| 1052640 | NY | BEACON HEALTH STRATEGIES | |
| P2552029 | NY | OXFORD | |
| 12362 | NY | VYTRA | |
| 182262 | NY | GUARDIAN PHS | |
| 5861327 | NY | AETNA | |
| N1432 | NY | EMPIRE BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Suzanne J Ennis by the Centers for Medicare & Medicaid Services?
The Suzanne J Ennis has been assigned the NPI (National Provider Identifier) 1912914383 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Suzanne J Ennis?
The Suzanne J Ennis is physically situated at 5 Blueberry Ridge Rd, in the city of Setauket, state of NY, with the postal code 117331503.
What is Suzanne J Ennis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Suzanne J Ennis is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912914383 to Suzanne J Ennis?
The Centers for Medicare & Medicaid Services assigned the 1912914383 to Suzanne J Ennis on 2006-08-01.
As of what date was the information regarding Suzanne J Ennis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Suzanne J Ennis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.