Stewart, Susan Joan

Stewart, Susan Joan is an individual health care provider with primary practice located at 19 Central Ave 3Rd Floor, Oil City PA 16301-2733. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stewart, Susan Joan can be contacted via phone (814) 678-6900.

Contact Information

Primary practice address
19 Central Ave 3Rd Floor Oil City PA 16301-2733
Fax: (814) 678-6902
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW014422 Pennsylvania

Profile Details

NPI number 1962427062
LBN Legal business name Stewart, Susan Joan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated May 27th, 2009 - about 15 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 1962427062 NPPES
Pennsylvania Other 161375 TRICARE
Pennsylvania Other 202626 TRICARE
Pennsylvania Other 629608 TRICARE
Pennsylvania Other 201297000 TRICARE
Pennsylvania Other 042306ZDEJ TRICARE

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