Modlin, Susan W.

Modlin, Susan W. is an individual health care provider with primary practice located at 130 Carbonton Rd , Sanford NC 27330-4009. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Modlin, Susan W. can be contacted via phone (919) 774-6521.

Contact Information

Primary practice address
130 Carbonton Rd Sanford NC 27330-4009
Fax: (919) 776-6179
Website:

Health care specialties

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

Profile Details

NPI number 1326165010
LBN Legal business name Modlin, Susan W.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Aug 6th, 2013 - about 13 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 1326165010 NPPES
North Carolina MEDICAID 6007202

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