Sue Laura Severance in Lees Summit - Clinical
Sue Laura Severance - NPI 1306997010
Sue Laura Severance is a Clinical in Lees Summit, Missouri. Sue Laura Severance practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sue Laura Severance is 1306997010. The last update date is 2021-10-01.
Sue Laura Severance's current location address is 1555 Ne Rice Rd, Lees Summit, Missouri. You can contact this provider via phone number 8169660900. The mailing address for Sue Laura Severance is 1555 Ne Rice Rd, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sue Laura Severance |
|---|---|
| Address | 1555 Ne Rice Rd, Lees Summit, Missouri |
| Phone Number | 8169660900 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1306997010 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2021-10-01 |
Provider Mailing Address Detail
| Address | 1555 Ne Rice Rd |
|---|---|
| City | Lees Summit |
| State | Missouri (MO) |
| Post Code | 640865849 |
| Phone Number | 8169660900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2420 |
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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 |
|---|---|---|---|
| 100098080A | KS | -- | |
| 100098080C | KS | SED WAIVER |
Post Comment/ Review Below
What is the Sue Laura Severance's 1306997010?
The Sue Laura Severance's NPI (National Provider Identifier) Number is 1306997010. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Sue Laura Severance's physical address?
The Sue Laura Severance is physically located at 1555 Ne Rice Rd, in the city of Lees Summit, MO, with the postal code 640865849.
What is the Sue Laura Severance's specialty and taxonomy code?
The Sue Laura Severance's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1306997010 assigned to Sue Laura Severance?
The Sue Laura Severance was issued its 1306997010 on 2007-01-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Sue Laura Severance last refreshed?
The information related to the Sue Laura Severance, including its address, specialty, and other relevant details, was last updated on 2021-10-01.