Wildemann, Susan Langdon
Wildemann, Susan Langdon is an individual health care provider with primary practice located at 314 S Manning Blvd , Albany NY 12208-1708. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wildemann, Susan Langdon can be contacted via phone (518) 453-2273.Contact Information
Primary practice address
314 S Manning Blvd
Albany NY 12208-1708
Phone: (518) 453-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 050684 | New York |
Profile Details
| NPI number | 1902858996 |
|---|---|
| LBN Legal business name | Wildemann, Susan Langdon |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Sep 8th, 2016 - about 9 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 | 1902858996 | NPPES |
| New York | MEDICAID | 00050684 |
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