Susan Marie Panger is a Clinical in Kenosha, Wisconsin. Susan Marie Panger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Marie Panger is 1750403101. The last update date is 2010-09-14.
Susan Marie Panger's current location address is Po Box 96, Kenosha, Wisconsin. You can contact this provider via phone number 2626529599 and fax number 2626520009. The mailing address for Susan Marie Panger is Po Box 96, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Marie Panger |
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Address | Po Box 96, Kenosha, Wisconsin |
Phone Number | 2626529599 |
Fax Number | 2626520009 |
Sole Proprietor | N |
Credentials | LMFT LCSW |
NPI Number Detail
NPI Number | 1750403101 |
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Provider Enumeration Date | 2007-04-05 |
Last Updated Date | 2010-09-14 |
Provider Mailing Address Detail
Address | Po Box 96 |
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City | Kenosha |
State | Wisconsin (WI) |
Post Code | 531410096 |
Phone Number | 2626529599 |
Fax Number | 2626520009 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 2606-123 |
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 identification code assigned to Susan Marie Panger by the Centers for Medicare & Medicaid Services?
The Susan Marie Panger has been issued the NPI (National Provider Identifier) 1750403101. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susan Marie Panger's facilities are situated?
The facilities of Susan Marie Panger are physically located at the following address: Po Box 96, Kenosha, WI, 531410096.
What is Susan Marie Panger's area of expertise and its corresponding taxonomy classification?
The Susan Marie Panger's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Susan Marie Panger receive the assignment of its 1750403101 from the Centers for Medicare & Medicaid Services?
The Susan Marie Panger was issued its 1750403101 by the Centers for Medicare & Medicaid Services on 2007-04-05.
As of what date were the details related to Susan Marie Panger most recently updated or revised?
The information pertaining to Susan Marie Panger, including its address, specialty, and other relevant details, was last updated or revised on 2010-09-14.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC