Larry M Shushansky in Providence - Clinical
Larry M Shushansky - NPI 1891747960
Larry M Shushansky is a Clinical in Providence, Rhode Island. Larry M Shushansky practices all healthcare services and medical treatments related to Clinical. The NPI Number for Larry M Shushansky is 1891747960. The last update date is 2018-06-21.
Larry M Shushansky's current location address is 182 Butler Ave Ste 4, Providence, Rhode Island. You can contact this provider via phone number 4018291209. The mailing address for Larry M Shushansky is 182 Butler Ave Ste 4, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry M Shushansky |
|---|---|
| Address | 182 Butler Ave Ste 4, Providence, Rhode Island |
| Phone Number | 4018291209 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1891747960 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2018-06-21 |
Provider Mailing Address Detail
| Address | 182 Butler Ave Ste 4 |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29065317 |
| Phone Number | 4018291209 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ISW00391 |
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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 |
|---|---|---|---|
| 407868 | RI | BLUE CHIP PROVIDER # | |
| 30328-8 | RI | BLUE SHIELD PROVIDER # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Larry M Shushansky by the Centers for Medicare & Medicaid Services?
The Larry M Shushansky has been issued the NPI (National Provider Identifier) 1891747960 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Larry M Shushansky located?
The Larry M Shushansky is located at 182 Butler Ave Ste 4, Providence, RI 29065317.
What is Larry M Shushansky's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larry M Shushansky is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1891747960 to Larry M Shushansky?
The Centers for Medicare & Medicaid Services assigned the 1891747960 to Larry M Shushansky on 2006-05-17.
When was the Larry M Shushansky's information last updated?
The Larry M Shushansky's information was last updated on 2018-06-21.
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