MISS SUSAN A. WANGERMAN MA LSW LMHC NPI 1790886752

NPI Information

NPI: 1790886752
Provider Name: MISS SUSAN A. WANGERMAN, MA, LSW, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
25 CHASE LN
ORLEANS, MA
ZIP 02653
Phone: (508) 255-3866
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MISS Susan A. Wangerman, MA, LSW, LMHC is a mental health counselor in Orleans, MA. MISS Susan A. Wangerman, MA, LSW, LMHC NPI is 1790886752. 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:

25 CHASE LN
ORLEANS, MA
ZIP 02653-103
Phone: (508) 255-3866
Fax: (508) 255-3790

The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/9/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	4068	MASSACHUSETTS	Yes
2	104100000X	Social Worker		3025778	MASSACHUSETTS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	454542	OTHER	MASSACHUSETTS	TUFTS HEALTH
2	1895052	MEDICAID	MASSACHUSETTS
3	354857	OTHER	MASSACHUSETTS	TRICARE/CHAMPUS
4	BC/BS OF MA	OTHER	MASSACHUSETTS	ALL PRODUCTS

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

NPI Synchronization or Removal

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