Susan J Mcaninch in Sturgeon Bay - Clinical
Susan J Mcaninch - NPI 1124007349
Susan J Mcaninch is a Clinical in Sturgeon Bay, Wisconsin. Susan J Mcaninch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan J Mcaninch is 1124007349. The last update date is 2007-07-08.
Susan J Mcaninch's current location address is 20 S 1st Ave, Sturgeon Bay, Wisconsin. You can contact this provider via phone number 9207460162 and fax number 9207460140. The mailing address for Susan J Mcaninch is 20 S 1st Ave, Sturgeon Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan J Mcaninch |
|---|---|
| Address | 20 S 1st Ave, Sturgeon Bay, Wisconsin |
| Phone Number | 9207460162 |
| Fax Number | 9207460140 |
| Sole Proprietor | X |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1124007349 |
|---|---|
| Provider Enumeration Date | 2006-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20 S 1st Ave |
|---|---|
| City | Sturgeon Bay |
| State | Wisconsin (WI) |
| Post Code | 542352546 |
| Phone Number | 9207460162 |
| Fax Number | 9207460140 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6742-123 |
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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 |
|---|---|---|---|
| 43569800 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan J Mcaninch?
The Susan J Mcaninch has been issued the NPI (National Provider Identifier) 1124007349 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Susan J Mcaninch's facilities are situated?
The facilities of Susan J Mcaninch are physically located at the following address: 20 S 1St Ave, Sturgeon Bay, WI, 542352546.
What is the Susan J Mcaninch's area of specialization and corresponding taxonomy classification?
The Susan J Mcaninch's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Susan J Mcaninch receive the assignment of its 1124007349 from the Centers for Medicare & Medicaid Services?
The Susan J Mcaninch was issued its 1124007349 by the Centers for Medicare & Medicaid Services on 2006-01-16.
When was the Susan J Mcaninch's information last updated?
The Susan J Mcaninch's information was last updated on 2007-07-08.