Susan Mack is a Clinical in Richmond, Virginia. Susan Mack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Mack is 1093986747. The last update date is 2008-03-20.
Susan Mack's current location address is 107 S 5th St, Richmond, Virginia. You can contact this provider via phone number 8048194000. The mailing address for Susan Mack is 107 S 5th St, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Mack |
|---|---|
| Address | 107 S 5th St, Richmond, Virginia |
| Phone Number | 8048194000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1093986747 |
|---|---|
| Provider Enumeration Date | 2008-03-20 |
| Last Updated Date | 2008-03-20 |
Provider Mailing Address Detail
| Address | 107 S 5th St |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 232193825 |
| Phone Number | 8048194000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904006800 |
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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 |
|---|---|---|---|
| 4945255 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Mack by the Centers for Medicare & Medicaid Services?
The Susan Mack has been assigned the NPI (National Provider Identifier) 1093986747. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susan Mack is located?
The Susan Mack is situated at the following address: 107 S 5Th St, Richmond, VA, 232193825.
What is Susan Mack's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan Mack is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Susan Mack receive the assignment of its 1093986747 from the Centers for Medicare & Medicaid Services?
The Susan Mack was issued its 1093986747 by the Centers for Medicare & Medicaid Services on 2008-03-20.
As of what date was the information pertaining to Susan Mack, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan Mack, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-20.
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