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NPI Code Detail

MEDICARE: SUSAN M PLUCKNETT LCSW

MEDICARE: SUSAN M PLUCKNETT 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 Worker44SC05647600NJ
21041C0700XClinical Social WorkerCW013458PA

General Provider Information

NPI Number : 1356537294
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN M PLUCKNETT LCSW
Provider Business Mailing Address
First Line : 4003 WESTAWAY DR APT C3
Second Line :
City : LAFAYETTE HILL
State : PA
Zip : 19444-1522
Country : US
Telephone Number : 215-983-1999
Fax Number :
Provider Business Practice Location Address
First Line : 100 S JUNIPER ST FL 3
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-1316
Country : US
Telephone Number : 267-999-9534
Fax Number : 833-613-2680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2007
Last Update Date : 07/12/2023

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Directions to “ SUSAN M PLUCKNETT LCSW” Practice Location

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