Van Leaven, Susan
Van Leaven, Susan is an individual health care provider with primary practice located at 1255 Oaklawn Ave Suite # 2, Cranston RI 02920-2649. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Van Leaven, Susan can be contacted via phone (401) 228-7914.Contact Information
Primary practice address
1255 Oaklawn Ave Suite # 2
Cranston RI 02920-2649
Phone: (401) 228-7914
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW00522 | Rhode Island |
Profile Details
| NPI number | 1912945015 |
|---|---|
| LBN Legal business name | Van Leaven, Susan |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Mar 29th, 2010 - about 16 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 | 1912945015 | NPPES |
| Rhode Island | Other | 406424 | BLUE CHIP |
| Rhode Island | Other | 30885-4 | BLUE CHIP |
| Rhode Island | MEDICAID | SG12457 | BLUE CHIP |
| Rhode Island | Other | 62-15766 | BLUE CHIP |
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