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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 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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