Cheseldine, Susan T

Cheseldine, Susan T is an individual health care provider with primary practice located at 10401 Hospital Dr Suite G-03, Clinton MD 20735-3110. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cheseldine, Susan T can be contacted via phone (301) 856-6000.

Contact Information

Primary practice address
10401 Hospital Dr Suite G-03 Clinton MD 20735-3110
Fax: (301) 856-8398
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 08817 Maryland

Profile Details

NPI number 1679592422
LBN Legal business name Cheseldine, Susan T
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679592422 NPPES
Maryland MEDICAID 856426400

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