Hennige, Susan Helen
Hennige, Susan Helen is an sole proprietor health care provider with primary practice located at 2005 N Ironwood Pkwy Ste 113 , Coeur D Alene ID 83814-2614. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hennige, Susan Helen can be contacted via phone (208) 758-8302.Contact Information
Primary practice address
2005 N Ironwood Pkwy Ste 113
Coeur D Alene ID 83814-2614
Phone: (208) 758-8302
Fax: (208) 758-0850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW 00008547 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW - 1136 | Idaho |
Profile Details
| NPI number | 1134116502 |
|---|---|
| LBN Legal business name | Hennige, Susan Helen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2005 |
| Last updated | May 24th, 2024 - about 6 months 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 | 1134116502 | NPPES |
| Washington | Other | 8940571 | L&I CRIME VICTIMS |
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