Russ, Susana

Russ, Susana is an individual health care provider with primary practice located at 455 1St St , Woodland CA 95695-4023. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russ, Susana can be contacted via phone (530) 662-2211.

Contact Information

Primary practice address
455 1St St Woodland CA 95695-4023
Phone: (530) 662-2211
Fax: (530) 662-4315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS19115 California

Profile Details

NPI number 1578648598
LBN Legal business name Russ, Susana
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 9th, 2007 - about 17 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 1578648598 NPPES
California MEDICAID 10019

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