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SUSAN JO CERVELLERA M.S.W. NPI 1265880215


NPI Information

NPI: 1265880215
Provider Name: SUSAN JO CERVELLERA, M.S.W.
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
1042 GRISWOLD ST
SUITE 2
PORT HURON, MI
ZIP 48060
Phone: (810) 987-9337
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Susan Jo Cervellera, M.S.W. is a social worker in Port Huron, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Susan Jo Cervellera, M.S.W. NPI is 1265880215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1042 GRISWOLD ST
SUITE 2
PORT HURON, MI
ZIP 48060-867
Phone: (810) 987-9337
Fax: (810) 987-9548

The enumeration date for this NPI number is 6/1/2016 and was last updated on 6/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker6801097583MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.