Leavitt, Susan

Leavitt, Susan is an individual health care provider with primary practice located at 750 N 200 W , Provo UT 84601-1677. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), 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. Leavitt, Susan can be contacted via phone (801) 373-4760.

Contact Information

Primary practice address
750 N 200 W Provo UT 84601-1677
Phone: (801) 373-4760
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 6732424-3503 Utah
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6732424-6006 Utah
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6732424-3501 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6732424-3501 Utah

Profile Details

NPI number 1427223023
LBN Legal business name Leavitt, Susan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2008
Last updated Feb 23rd, 2015 - about 9 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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