Roger Suclupe is a Clinical in Matthews, North Carolina. Roger Suclupe practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roger Suclupe is 1700804747. The last update date is 2012-07-17.
Roger Suclupe's current location address is 6800 Saint Peters Ln, Matthews, North Carolina. You can contact this provider via phone number 7046444342 and fax number 7045319266. The mailing address for Roger Suclupe is 6800 Saint Peters Ln, Matthews, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Suclupe |
|---|---|
| Address | 6800 Saint Peters Ln, Matthews, North Carolina |
| Phone Number | 7046444342 |
| Fax Number | 7045319266 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1700804747 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2012-07-17 |
Provider Mailing Address Detail
| Address | 6800 Saint Peters Ln |
|---|---|
| City | Matthews |
| State | North Carolina (NC) |
| Post Code | 281058458 |
| Phone Number | 7046444342 |
| Fax Number | 7045319266 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C005151 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6106139 | NC | -- |
Post Comment/ Review Below
What is the Roger Suclupe's unique identification number?
The Roger Suclupe has been assigned the NPI (National Provider Identifier) Number 1700804747 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Roger Suclupe is geographically located?
The Roger Suclupe is physically situated at the following location: 6800 Saint Peters Ln, Matthews, NC, 281058458.
What is the area of specialization for Roger Suclupe, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Roger Suclupe is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Roger Suclupe receive the assignment of its 1700804747 from the Centers for Medicare & Medicaid Services?
The Roger Suclupe was issued its 1700804747 by the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date was the information pertaining to Roger Suclupe, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Roger Suclupe, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-07-17.