Susan Anne Sheppard in Grand Rapids - Clinical
Susan Anne Sheppard - NPI 1689848228
Susan Anne Sheppard is a Clinical in Grand Rapids, Michigan. Susan Anne Sheppard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Anne Sheppard is 1689848228. The last update date is 2008-04-15.
Susan Anne Sheppard's current location address is 1115 Ball Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164513001 and fax number 6164518779. The mailing address for Susan Anne Sheppard is 1115 Ball Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Anne Sheppard |
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Address | 1115 Ball Ave Ne, Grand Rapids, Michigan |
Phone Number | 6164513001 |
Fax Number | 6164518779 |
Sole Proprietor | N |
Credentials | LMSW |
NPI Number Detail
NPI Number | 1689848228 |
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Provider Enumeration Date | 2008-04-15 |
Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
Address | 1115 Ball Ave Ne |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495055904 |
Phone Number | 6164513001 |
Fax Number | 6164518779 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 6801084410 |
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 identifier code issued to Susan Anne Sheppard by the Centers for Medicare & Medicaid Services?
The Susan Anne Sheppard has been assigned the NPI (National Provider Identifier) 1689848228. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susan Anne Sheppard?
The Susan Anne Sheppard is physically situated at 1115 Ball Ave Ne, in the city of Grand Rapids, state of MI, with the postal code 495055904.
What is the area of specialization for Susan Anne Sheppard, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan Anne Sheppard is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Susan Anne Sheppard receive its 1689848228 assignment from the Centers for Medicare & Medicaid Services?
The Susan Anne Sheppard was assigned its 1689848228 on 2008-04-15, 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 Anne Sheppard most recently updated or revised?
The information pertaining to Susan Anne Sheppard, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-15.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC