Goldenberg, Suzanne Shrader

Goldenberg, Suzanne Shrader is an sole proprietor health care provider with primary practice located at 1421 Narragansett Blvd , Cranston RI 02905-5140. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goldenberg, Suzanne Shrader can be contacted via phone (401) 467-0765.

Contact Information

Primary practice address
1421 Narragansett Blvd Cranston RI 02905-5140
Phone: (401) 467-0765
Fax: (401) 467-0765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISWO1549 Rhode Island

Profile Details

NPI number 1457484818
LBN Legal business name Goldenberg, Suzanne Shrader
Credentials MSW, L.I.C.S.W
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jul 9th, 2007 - about 17 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 1457484818 NPPES
Rhode Island Other 27350-5 BLUE CROSS BLUE SHIELD
Rhode Island MEDICAID SG5134 BLUE CROSS BLUE SHIELD
Rhode Island Other 1038120 BLUE CROSS BLUE SHIELD
Rhode Island Other 411607 BLUE CROSS BLUE SHIELD

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