Susan R S Wertheim in Port St Lucie - Clinical
Susan R S Wertheim - NPI 1205041365
Susan R S Wertheim is a Clinical in Port St Lucie, Florida. Susan R S Wertheim practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan R S Wertheim is 1205041365. The last update date is 2007-07-08.
Susan R S Wertheim's current location address is 1801 Hillmoor Drive, Port St Lucie, Florida. You can contact this provider via phone number 7723357398 and fax number 7723352089. The mailing address for Susan R S Wertheim is 1801 Hillmoor Drive, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan R S Wertheim |
|---|---|
| Address | 1801 Hillmoor Drive, Port St Lucie, Florida |
| Phone Number | 7723357398 |
| Fax Number | 7723352089 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1205041365 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1801 Hillmoor Drive |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349527545 |
| Phone Number | 7723357398 |
| Fax Number | 7723352089 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW0001623 |
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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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What is the unique identification code assigned to Susan R S Wertheim by the Centers for Medicare & Medicaid Services?
The Susan R S Wertheim has been issued the NPI (National Provider Identifier) 1205041365. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Susan R S Wertheim located?
The Susan R S Wertheim is located at 1801 Hillmoor Drive, Port St Lucie, FL 349527545.
What is Susan R S Wertheim's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan R S Wertheim's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Susan R S Wertheim receive its 1205041365 assignment from the Centers for Medicare & Medicaid Services?
The Susan R S Wertheim was assigned its 1205041365 on 2007-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Susan R S Wertheim most recently updated or revised?
The information pertaining to Susan R S Wertheim, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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