Rose Soussan is a Clinical in Staten Island, New York. Rose Soussan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rose Soussan is 1932260882. The last update date is 2014-08-19.
Rose Soussan's current location address is 162 Fanning St, Staten Island, New York. You can contact this provider via phone number 7184422924 and fax number 7184422924. The mailing address for Rose Soussan is 162 Fanning St, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rose Soussan |
|---|---|
| Address | 162 Fanning St, Staten Island, New York |
| Phone Number | 7184422924 |
| Fax Number | 7184422924 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1932260882 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2014-08-19 |
Provider Mailing Address Detail
| Address | 162 Fanning St |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103145308 |
| Phone Number | 7184422924 |
| Fax Number | 7184422924 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R030665-1 |
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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 |
|---|---|---|---|
| 7334050 | NY | G.H.I. | |
| P2878514 | NY | OXFORD | |
| 2367233 | NY | -- |
Post Comment/ Review Below
What is the Rose Soussan's 1932260882?
The Rose Soussan's NPI (National Provider Identifier) Number is 1932260882. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Rose Soussan is located?
The Rose Soussan is situated at the following address: 162 Fanning St, Staten Island, NY, 103145308.
What is Rose Soussan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rose Soussan's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932260882 to Rose Soussan?
The Centers for Medicare & Medicaid Services originally issued the 1932260882 to Rose Soussan on 2006-12-13.
As of what date were the details pertaining to Rose Soussan last refreshed?
The information related to the Rose Soussan, including its address, specialty, and other relevant details, was last updated on 2014-08-19.