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
Phone: (508) 255-3866
Fax: (508) 255-3790
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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