Susan Wickersham Davenport in Seattle - Clinical

Susan Wickersham Davenport - NPI 1174634091

Susan Wickersham Davenport is a Clinical in Seattle, Washington. Susan Wickersham Davenport practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Wickersham Davenport is 1174634091. The last update date is 2008-09-29.

Susan Wickersham Davenport's current location address is 6827 20th Ave Ne, Seattle, Washington. You can contact this provider via phone number 2067642646. The mailing address for Susan Wickersham Davenport is 6827 20th Ave Ne, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Wickersham Davenport
Address 6827 20th Ave Ne, Seattle, Washington
Phone Number 2067642646
Fax Number
Sole Proprietor N
Credentials MSW

NPI Number Detail

NPI Number 1174634091
Provider Enumeration Date 2006-08-31
Last Updated Date 2008-09-29

Provider Mailing Address Detail

Address 6827 20th Ave Ne
City Seattle
State Washington (WA)
Post Code 981156945
Phone Number 2067642646
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LW00004576
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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FAQs about Susan Wickersham Davenport

What is the unique identification code assigned to Susan Wickersham Davenport by the Centers for Medicare & Medicaid Services?

The Susan Wickersham Davenport has been issued the NPI (National Provider Identifier) 1174634091. 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 Wickersham Davenport is located?

The Susan Wickersham Davenport is situated at the following address: 6827 20Th Ave Ne, Seattle, WA, 981156945.

What is the area of specialization for Susan Wickersham Davenport, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Susan Wickersham Davenport 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 assign the 1174634091 to Susan Wickersham Davenport?

The Centers for Medicare & Medicaid Services assigned the 1174634091 to Susan Wickersham Davenport on 2006-08-31.

When was the information pertaining to Susan Wickersham Davenport most recently updated or revised?

The details related to Susan Wickersham Davenport, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-29.

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