Susan Y Wade is a Clinical in Fort Worth, Texas. Susan Y Wade practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Y Wade is 1518073311. The last update date is 2016-07-13.
Susan Y Wade's current location address is 1624 Enderly Pl, Fort Worth, Texas. You can contact this provider via phone number 8172070042 and fax number 8178874649. The mailing address for Susan Y Wade is 1624 Enderly Pl, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Y Wade |
|---|---|
| Address | 1624 Enderly Pl, Fort Worth, Texas |
| Phone Number | 8172070042 |
| Fax Number | 8178874649 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1518073311 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2016-07-13 |
Provider Mailing Address Detail
| Address | 1624 Enderly Pl |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761044120 |
| Phone Number | 8172070042 |
| Fax Number | 8178874649 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 35359 |
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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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What is the unique 10-digit identifier code assigned to Susan Y Wade by the Centers for Medicare & Medicaid Services?
The Susan Y Wade has been issued the NPI (National Provider Identifier) 1518073311 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Susan Y Wade?
The Susan Y Wade is situated at 1624 Enderly Pl, in the city of Fort Worth, state of TX, with the zip code 761044120.
What is the area of specialization for Susan Y Wade, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan Y Wade is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518073311 to Susan Y Wade?
The Susan Y Wade received its 1518073311 assignment from the Centers for Medicare & Medicaid Services on 2006-08-22.
When was the information regarding Susan Y Wade most recently updated?
The details pertaining to the Susan Y Wade, including its address, specialty, and other relevant information, were last refreshed on 2016-07-13.