Vincent, Susan A

Vincent, Susan A is an sole proprietor health care provider with primary practice located at 3 N Orchard St , New Bedford MA 02740-3661. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vincent, Susan A can be contacted via phone (508) 991-4404.

Contact Information

Primary practice address
3 N Orchard St New Bedford MA 02740-3661
Fax: (508) 996-4862
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 106939 Massachusetts

Profile Details

NPI number 1023092079
LBN Legal business name Vincent, Susan A
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2005
Last updated Dec 4th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023092079 NPPES
Massachusetts Other 104967 MAGELLAN
Massachusetts Other 755196 MAGELLAN
Massachusetts MEDICAID 1890492 MAGELLAN

Popular Providers