Wangerman, Susan A.

Wangerman, Susan A. is an sole proprietor health care provider with primary practice located at 25 Chase Ln , Orleans MA 02653-3103. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wangerman, Susan A. can be contacted via phone (508) 255-3866.

Contact Information

Primary practice address
25 Chase Ln Orleans MA 02653-3103
Fax: (508) 255-3790
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4068 Massachusetts
Behavioral Health & Social Service Providers / Social Worker 104100000X 3025778 Massachusetts

Profile Details

NPI number 1790886752
LBN Legal business name Wangerman, Susan A.
Credentials MA, LSW, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 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 1790886752 NPPES
Massachusetts Other BC/BS OF MA ALL PRODUCTS
Massachusetts MEDICAID 1895052 ALL PRODUCTS
Massachusetts Other 354857 ALL PRODUCTS
Massachusetts Other 454542 ALL PRODUCTS

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