Hackert, Suzanne
Hackert, Suzanne is an individual health care provider with primary practice located at 48 East St , Fort Edward NY 12828-1811. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hackert, Suzanne can be contacted via phone (518) 824-8630.Contact Information
Primary practice address
48 East St
Fort Edward NY 12828-1811
Phone: (518) 824-8630
Fax: (518) 824-2302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R044923 | New York |
Profile Details
| NPI number | 1962433169 |
|---|---|
| LBN Legal business name | Hackert, Suzanne |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Aug 18th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962433169 | NPPES |
| New York | MEDICAID | 02792189 |
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