Susan Bandler Wagner in Newfane - Clinical
Susan Bandler Wagner - NPI 1700901568
Susan Bandler Wagner is a Clinical in Newfane, Vermont. Susan Bandler Wagner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Bandler Wagner is 1700901568. The last update date is 2014-07-31.
Susan Bandler Wagner's current location address is Po Box 344, Newfane, Vermont. You can contact this provider via phone number 8023659115. The mailing address for Susan Bandler Wagner is Po Box 344, Newfane, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Bandler Wagner |
|---|---|
| Address | Po Box 344, Newfane, Vermont |
| Phone Number | 8023659115 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1700901568 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2014-07-31 |
Provider Mailing Address Detail
| Address | Po Box 344 |
|---|---|
| City | Newfane |
| State | Vermont (VT) |
| Post Code | 53450344 |
| Phone Number | 8023659115 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 089-0000330 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Bandler Wagner?
The Susan Bandler Wagner has been issued the NPI (National Provider Identifier) 1700901568 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Susan Bandler Wagner's physical address?
The Susan Bandler Wagner is physically located at Po Box 344, in the city of Newfane, VT, with the postal code 53450344.
What is Susan Bandler Wagner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Bandler Wagner is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did Susan Bandler Wagner receive its 1700901568 assignment?
The Susan Bandler Wagner was assigned its 1700901568 on 2007-03-20, which is the date when this unique identifier was issued to the organization.
As of what date were the Susan Bandler Wagner's details last updated?
The information pertaining to the Susan Bandler Wagner, including its address, specialty, and other details, was most recently updated on 2014-07-31.