Graefe, Susan W

Graefe, Susan W is an sole proprietor health care provider with primary practice located at 390 Toll Gate Rd Suite 206 , Warwick RI 02886. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Graefe, Susan W can be contacted via phone (401) 732-6369.

Contact Information

Primary practice address
390 Toll Gate Rd Suite 206 Warwick RI 02886
Fax: (401) 732-6369
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ISW00128 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW00128 Rhode Island

Profile Details

NPI number 1386794345
LBN Legal business name Graefe, Susan W
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated May 8th, 2019 - about 5 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 1386794345 NPPES
Rhode Island Other 7385 RI BLUE CROSS BLUE SHIELD

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