Susanne Groenendaal in State College - Clinical
Susanne Groenendaal - NPI 1265431936
Susanne Groenendaal is a Clinical in State College, Pennsylvania. Susanne Groenendaal practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susanne Groenendaal is 1265431936. The last update date is 2021-02-15.
Susanne Groenendaal's current location address is 119 S Burrowes St, State College, Pennsylvania. You can contact this provider via phone number 8144417456 and fax number 8142381875. The mailing address for Susanne Groenendaal is 119 S Burrowes St, State College, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susanne Groenendaal |
|---|---|
| Address | 119 S Burrowes St, State College, Pennsylvania |
| Phone Number | 8144417456 |
| Fax Number | 8142381875 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1265431936 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2021-02-15 |
Provider Mailing Address Detail
| Address | 119 S Burrowes St |
|---|---|
| City | State College |
| State | Pennsylvania (PA) |
| Post Code | 168013894 |
| Phone Number | 8144417456 |
| Fax Number | 8142381875 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW-000305-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 |
|---|---|---|---|
| 7032703 | PA | -- | |
| 10988 | TRICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Susanne Groenendaal by the Centers for Medicare & Medicaid Services?
The Susanne Groenendaal has been assigned the NPI (National Provider Identifier) 1265431936. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susanne Groenendaal?
The Susanne Groenendaal is physically situated at 119 S Burrowes St, in the city of State College, state of PA, with the postal code 168013894.
What is Susanne Groenendaal's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susanne Groenendaal is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265431936 to Susanne Groenendaal?
The Susanne Groenendaal received its 1265431936 assignment from the Centers for Medicare & Medicaid Services on 2005-07-15.
When was the information regarding Susanne Groenendaal, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susanne Groenendaal, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-02-15.