1124215694 NPI number — MS. SUSAN POSEY LCSW

Table of content: MS. SUSAN POSEY LCSW (NPI 1124215694)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124215694 NPI number — MS. SUSAN POSEY LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POSEY
Provider First Name:
SUSAN
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124215694
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/28/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1336
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CASHIERS
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28717-1336
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-743-5414
Provider Business Mailing Address Fax Number:
828-743-9924

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
555 WANDERING RIDGE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28736-8394
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-743-5414
Provider Business Practice Location Address Fax Number:
828-743-9924
Provider Enumeration Date:
09/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  C003565 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 135GT . This is a "BLUE CROSS/ BLUE SHIELD" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com