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NPI Code Detail

MEDICARE: MS. SUSAN BELINDA WAYN LCSW-R

MEDICARE: MS. SUSAN BELINDA WAYN LCSW-R
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 WorkerR053383NY

General Provider Information

NPI Number : 1275733578
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN BELINDA WAYN LCSW-R
Provider Business Mailing Address
First Line : 1 SUMMIT AVE
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10606-3003
Country : US
Telephone Number : 914-948-8004
Fax Number : 914-289-0566
Provider Business Practice Location Address
First Line : 1 SUMMIT AVE
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10606-3003
Country : US
Telephone Number : 914-948-8004
Fax Number : 914-289-0566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2007
Last Update Date : 07/24/2007

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