Susan Bruce is a Clinical in Providence, Rhode Island. Susan Bruce practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Bruce is 1659316982. The last update date is 2021-10-13.
Susan Bruce's current location address is 69 11th St, Providence, Rhode Island. You can contact this provider via phone number 4015950657. The mailing address for Susan Bruce is 69 11th St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Bruce |
|---|---|
| Address | 69 11th St, Providence, Rhode Island |
| Phone Number | 4015950657 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1659316982 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2021-10-13 |
Provider Mailing Address Detail
| Address | 69 11th St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29062911 |
| Phone Number | 4015950657 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ISW01828 |
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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 |
|---|---|---|---|
| 1659316982 | RI | BLUE CHIP | |
| 1659316982 | RI | BLUE CROSS | |
| 1659316982 | RI | UBH | |
| SO58191 | RI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Susan Bruce by the Centers for Medicare & Medicaid Services?
The Susan Bruce has been issued the NPI (National Provider Identifier) 1659316982. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susan Bruce is located?
The Susan Bruce is situated at the following address: 69 11Th St, Providence, RI, 29062911.
What is Susan Bruce's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Bruce's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Susan Bruce receive its 1659316982 assignment from the Centers for Medicare & Medicaid Services?
The Susan Bruce was assigned its 1659316982 on 2006-06-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Susan Bruce most recently updated?
The details pertaining to the Susan Bruce, including its address, specialty, and other relevant information, were last refreshed on 2021-10-13.