Witt, Susan Anne
Witt, Susan Anne is an individual health care provider with primary practice located at 702 Columbia St , Hood River OR 97031-1720. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Witt, Susan Anne can be contacted via phone (541) 490-5831.Contact Information
Primary practice address
702 Columbia St
Hood River OR 97031-1720
Phone: (541) 490-5831
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 03-03-46 | Oregon |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L2419 | Oregon |
Profile Details
NPI number | 1649325580 |
---|---|
LBN Legal business name | Witt, Susan Anne |
Credentials | LCSW, CADC1 |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2007 |
Last updated | May 17th, 2019 - about 5 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 | 1649325580 | NPPES |
Oregon | MEDICAID | 500674555 |
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