Pierce, Susan Lee
Pierce, Susan Lee is an individual health care provider with primary practice located at 100 Ledgehill Rd , Bennington VT 05201-2273. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pierce, Susan Lee can be contacted via phone (802) 442-5491.Contact Information
Primary practice address
100 Ledgehill Rd
Bennington VT 05201-2273
Phone: (802) 442-5491
Fax: (802) 442-4910
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 089-0000665 | Vermont |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 089-0000665 | Vermont |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089-0000665 | Vermont |
Behavioral Health & Social Service Providers / School | 1041S0200X | 089-0000665 | Vermont |
Profile Details
NPI number | 1336158724 |
---|---|
LBN Legal business name | Pierce, Susan Lee |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2006 |
Last updated | Oct 2nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336158724 | NPPES |
Vermont | MEDICAID | 1007303 | |
Vermont | Other | 38183 | |
Vermont | Other | 2018856 | |
Vermont | Other | 360768 |
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