Susan Leigh Petrik in Waterbury - Clinical
Susan Leigh Petrik - NPI 1730377417
Susan Leigh Petrik is a Clinical in Waterbury, Connecticut. Susan Leigh Petrik practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Leigh Petrik is 1730377417. The last update date is 2012-08-22.
Susan Leigh Petrik's current location address is 141 E Main St, Waterbury, Connecticut. You can contact this provider via phone number 2037551143 and fax number 2037551447. The mailing address for Susan Leigh Petrik is 141 E Main St, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Leigh Petrik |
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Address | 141 E Main St, Waterbury, Connecticut |
Phone Number | 2037551143 |
Fax Number | 2037551447 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1730377417 |
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Provider Enumeration Date | 2007-10-09 |
Last Updated Date | 2012-08-22 |
Provider Mailing Address Detail
Address | 141 E Main St |
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City | Waterbury |
State | Connecticut (CT) |
Post Code | 67022310 |
Phone Number | 2037551143 |
Fax Number | 2037551447 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCSW-8051 |
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 provider identifier assigned to Susan Leigh Petrik?
The Susan Leigh Petrik has been issued the NPI (National Provider Identifier) 1730377417 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Susan Leigh Petrik?
The Susan Leigh Petrik is situated at 141 E Main St, in the city of Waterbury, state of CT, with the zip code 67022310.
What is the Susan Leigh Petrik's area of specialization and corresponding taxonomy classification?
The Susan Leigh Petrik'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 Centers for Medicare & Medicaid Services issue the 1730377417 to Susan Leigh Petrik?
The Susan Leigh Petrik received its 1730377417 assignment from the Centers for Medicare & Medicaid Services on 2007-10-09.
As of what date were the Susan Leigh Petrik's details last updated?
The information pertaining to the Susan Leigh Petrik, including its address, specialty, and other details, was most recently updated on 2012-08-22.