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NPI Code Detail

MEDICARE: SUZANNE BARTCH-WATERS LSW

MEDICARE: SUZANNE BARTCH-WATERS LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker

General Provider Information

NPI Number : 1255530408
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE BARTCH-WATERS LSW
Provider Business Mailing Address
First Line : 1518 GREGG ST UNIT B
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-4283
Country : US
Telephone Number : 267-475-4435
Fax Number :
Provider Business Practice Location Address
First Line : 2641 N 6TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19133-2637
Country : US
Telephone Number : 215-291-9700
Fax Number : 215-291-0626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2007
Last Update Date : 10/09/2023

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Directions to “ SUZANNE BARTCH-WATERS LSW” Practice Location

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