Myers, Susan Gibson
Myers, Susan Gibson is an individual health care provider with primary practice located at 611 Trent St Ne , Norton VA 24273-1533. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Myers, Susan Gibson can be contacted via phone (762) 756-7892.Contact Information
Primary practice address
611 Trent St Ne
Norton VA 24273-1533
Phone: (762) 756-7892
Fax: (276) 679-2174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904001549 | Virginia |
Profile Details
| NPI number | 1053314799 |
|---|---|
| LBN Legal business name | Myers, Susan Gibson |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2005 |
| Last updated | May 28th, 2024 - about last year |
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 | 1053314799 | NPPES |
| Virginia | MEDICAID | 010143047 | |
| Virginia | Other | 175710 |
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