Healthcare Provider Details

I. General information

NPI: 1982253563
Provider Name (Legal Business Name): NEISCHANGPI SUSAN SATUR CAMACHO MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2019
Last Update Date: 09/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LOWER NAVY HILL ROAD
SAIPAN MP
96950
US

IV. Provider business mailing address

PO BOX 500409
SAIPAN MP
96950-0409
US

V. Phone/Fax

Practice location:
  • Phone: 670-234-8950
  • Fax:
Mailing address:
  • Phone: 670-234-8950
  • Fax: 670-234-8933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number003
License Number StateMP

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: