White, Susan

White, Susan is an individual health care provider with primary practice located at 507 Philadelphia Pike , Wilmington DE 19809-2154. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. White, Susan can be contacted via phone (302) 762-8989.

Contact Information

Primary practice address
507 Philadelphia Pike Wilmington DE 19809-2154
Fax: (302) 762-8987
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Q10000499 Delaware

Profile Details

NPI number 1811981525
LBN Legal business name White, Susan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 8th, 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 1811981525 NPPES
Delaware MEDICAID 1000030335

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