Susan Williamson Fondry in Roan Mountain - Clinical
Susan Williamson Fondry - NPI 1528276631
Susan Williamson Fondry is a Clinical in Roan Mountain, Tennessee. Susan Williamson Fondry practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Williamson Fondry is 1528276631. The last update date is 2007-07-08.
Susan Williamson Fondry's current location address is Po Box 280, Roan Mountain, Tennessee. You can contact this provider via phone number 4239284003 and fax number 4237723689. The mailing address for Susan Williamson Fondry is Po Box 280, Roan Mountain, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Williamson Fondry |
|---|---|
| Address | Po Box 280, Roan Mountain, Tennessee |
| Phone Number | 4239284003 |
| Fax Number | 4237723689 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1528276631 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 280 |
|---|---|
| City | Roan Mountain |
| State | Tennessee (TN) |
| Post Code | 376870280 |
| Phone Number | 4239284003 |
| Fax Number | 4237723689 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SWL3044 |
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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 |
|---|---|---|---|
| 6002879 | NC | -- |
Post Comment/ Review Below
What is the Susan Williamson Fondry's 1528276631?
The Susan Williamson Fondry's NPI (National Provider Identifier) Number is 1528276631. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susan Williamson Fondry's facilities are situated?
The facilities of Susan Williamson Fondry are physically located at the following address: Po Box 280, Roan Mountain, TN, 376870280.
What is Susan Williamson Fondry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Williamson Fondry is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1528276631 assigned to Susan Williamson Fondry?
The Susan Williamson Fondry was issued its 1528276631 on 2007-05-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Susan Williamson Fondry most recently updated?
The details pertaining to the Susan Williamson Fondry, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1316921448
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