Chace, Susan L

Chace, Susan L is an individual health care provider with primary practice located at 10125 Verree Rd Suite 304 Jewish Family And Childrens Service, Philadelphia PA 19116. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Chace, Susan L can be contacted via phone (215) 673-0100.

Contact Information

Primary practice address
10125 Verree Rd Suite 304 Jewish Family And Childrens Service Philadelphia PA 19116
Phone: (215) 673-0100
Fax: (215) 934-6284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X CW014129 Pennsylvania

Profile Details

NPI number 1780739615
LBN Legal business name Chace, Susan L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780739615 NPPES
Pennsylvania MEDICAID 1000008810009

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