Ross, Susan C

Ross, Susan C is an individual health care provider with primary practice located at 5855 Bremo Rd Ste 403 , Richmond VA 23226-1924. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ross, Susan C can be contacted via phone (804) 288-2673.

Contact Information

Primary practice address
5855 Bremo Rd Ste 403 Richmond VA 23226-1924
Phone: (804) 288-2673
Fax: (804) 285-5572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904009310 Virginia

Profile Details

NPI number 1639691066
LBN Legal business name Ross, Susan C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2017
Last updated Jun 16th, 2018 - about 8 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 1639691066 NPPES
Other C06778 MEEDICARE GROUP PTAN

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