Rongey, Susanna Humbard

Rongey, Susanna Humbard is an individual health care provider with primary practice located at 2000 S Promenade Blvd , Rogers AR 72758-9073. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rongey, Susanna Humbard can be contacted via phone (479) 427-7722.

Contact Information

Primary practice address
2000 S Promenade Blvd Rogers AR 72758-9073
Phone: (479) 427-7722
Fax: (417) 350-1935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X R49764 Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 916-C Arkansas

Profile Details

NPI number 1982915419
LBN Legal business name Rongey, Susanna Humbard
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2010
Last updated Sep 28th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982915419 NPPES
Arkansas MEDICAID 203132795

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