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NPI Code Detail

MEDICARE: MS. SUSAN M ASPREY LCSW

MEDICARE: MS. SUSAN M ASPREY LCSW
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
11041C0700XClinical Social Worker0904003779VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1263597OTHERVAMAMSI
2243506OTHERVAANTHEM BLUE CROSS

General Provider Information

NPI Number : 1306809801
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN M ASPREY LCSW
Provider Business Mailing Address
First Line : 909 LEVEE CT
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23323-4123
Country : US
Telephone Number : 757-485-4787
Fax Number : 757-481-6311
Provider Business Practice Location Address
First Line : 1745 CAMELOT DR
Second Line : SUITE 200
City : VIRGINIA BEACH
State : VA
Zip : 23454-2435
Country : US
Telephone Number : 757-481-6000
Fax Number : 757-481-6311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 07/08/2007

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