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NPI Code Detail

MEDICARE: SUSAN WEBBER LCSW-C

MEDICARE: SUSAN WEBBER LCSW-C
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 Worker17854MD

General Provider Information

NPI Number : 1801965439
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN WEBBER LCSW-C
Provider Business Mailing Address
First Line : 319 CHANEY LN
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-2436
Country : US
Telephone Number : 765-509-0146
Fax Number :
Provider Business Practice Location Address
First Line : 2480 LLEWELLYN AVE
Second Line :
City : FORT GEORGE G MEADE
State : MD
Zip : 20755-7081
Country : US
Telephone Number : 301-677-8239
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 11/03/2017

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Directions to “ SUSAN WEBBER LCSW-C” Practice Location

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