Susan Blackman is a Clinical in Merion Station, Pennsylvania. Susan Blackman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Blackman is 1457492415. The last update date is 2007-07-08.
Susan Blackman's current location address is 395 Maplewood Rd, Merion Station, Pennsylvania. You can contact this provider via phone number 6108968180 and fax number 6108967113. The mailing address for Susan Blackman is 395 Maplewood Rd, Merion Station, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Blackman |
|---|---|
| Address | 395 Maplewood Rd, Merion Station, Pennsylvania |
| Phone Number | 6108968180 |
| Fax Number | 6108967113 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1457492415 |
|---|---|
| Provider Enumeration Date | 2007-02-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 395 Maplewood Rd |
|---|---|
| City | Merion Station |
| State | Pennsylvania (PA) |
| Post Code | 190661011 |
| Phone Number | 6108968180 |
| Fax Number | 6108967113 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW002456-L |
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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 |
|---|---|---|---|
| 1000008810025 | PA | -- | |
| 1000008810009 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Blackman?
The Susan Blackman has been issued the NPI (National Provider Identifier) 1457492415 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 Blackman's facilities are situated?
The facilities of Susan Blackman are physically located at the following address: 395 Maplewood Rd, Merion Station, PA, 190661011.
What is the Susan Blackman's area of specialization and corresponding taxonomy classification?
The Susan Blackman's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457492415 to Susan Blackman?
The Centers for Medicare & Medicaid Services originally issued the 1457492415 to Susan Blackman on 2007-02-10.
As of what date was the information regarding Susan Blackman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan Blackman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.