Suzanne Shrader Goldenberg in Cranston - Clinical
Suzanne Shrader Goldenberg - NPI 1457484818
Suzanne Shrader Goldenberg is a Clinical in Cranston, Rhode Island. Suzanne Shrader Goldenberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Suzanne Shrader Goldenberg is 1457484818. The last update date is 2007-07-09.
Suzanne Shrader Goldenberg's current location address is 1421 Narragansett Blvd, Cranston, Rhode Island. You can contact this provider via phone number 4014670765 and fax number 4014670765. The mailing address for Suzanne Shrader Goldenberg is 1421 Narragansett Blvd, Cranston, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne Shrader Goldenberg |
|---|---|
| Address | 1421 Narragansett Blvd, Cranston, Rhode Island |
| Phone Number | 4014670765 |
| Fax Number | 4014670765 |
| Sole Proprietor | Y |
| Credentials | MSW, L.I.C |
NPI Number Detail
| NPI Number | 1457484818 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1421 Narragansett Blvd |
|---|---|
| City | Cranston |
| State | Rhode Island (RI) |
| Post Code | 29055140 |
| Phone Number | 4014670765 |
| Fax Number | 4014670765 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ISWO1549 |
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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 |
|---|---|---|---|
| 27350-5 | RI | BLUE CROSS BLUE SHIELD | |
| SG5134 | RI | -- | |
| 1038120 | RI | BEACON HEALTH STATEGIES | |
| 411607 | RI | BLUECHIP |
Post Comment/ Review Below
What is the Suzanne Shrader Goldenberg's 1457484818?
The Suzanne Shrader Goldenberg's NPI (National Provider Identifier) Number is 1457484818. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Suzanne Shrader Goldenberg located?
The Suzanne Shrader Goldenberg is located at 1421 Narragansett Blvd, Cranston, RI 29055140.
What is Suzanne Shrader Goldenberg's area of expertise and its corresponding taxonomy classification?
The Suzanne Shrader Goldenberg's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Suzanne Shrader Goldenberg receive its 1457484818 assignment from the Centers for Medicare & Medicaid Services?
The Suzanne Shrader Goldenberg was assigned its 1457484818 on 2007-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Suzanne Shrader Goldenberg's details last updated?
The information pertaining to the Suzanne Shrader Goldenberg, including its address, specialty, and other details, was most recently updated on 2007-07-09.
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