Susan M Gronquist is a Clinical in Charlotte, North Carolina. Susan M Gronquist practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan M Gronquist is 1033219548. The last update date is 2007-07-08.
Susan M Gronquist's current location address is 1716 Starbrook Dr, Charlotte, North Carolina. You can contact this provider via phone number 7045522704 and fax number 7043310859. The mailing address for Susan M Gronquist is 1716 Starbrook Dr, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M Gronquist |
|---|---|
| Address | 1716 Starbrook Dr, Charlotte, North Carolina |
| Phone Number | 7045522704 |
| Fax Number | 7043310859 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1033219548 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1716 Starbrook Dr |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282106041 |
| Phone Number | 7045522704 |
| Fax Number | 7043310859 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 |
|---|---|---|---|
| 15086 | NC | PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan M Gronquist?
The Susan M Gronquist has been issued the NPI (National Provider Identifier) 1033219548 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Susan M Gronquist's facilities are situated?
The facilities of Susan M Gronquist are physically located at the following address: 1716 Starbrook Dr, Charlotte, NC, 282106041.
What is the Susan M Gronquist's specialty and taxonomy code?
The Susan M Gronquist's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033219548 to Susan M Gronquist?
The Susan M Gronquist received its 1033219548 assignment from the Centers for Medicare & Medicaid Services on 2006-09-24.
As of what date were the details related to Susan M Gronquist most recently updated or revised?
The information pertaining to Susan M Gronquist, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.