Moorman, Susan

Moorman, Susan is an individual health care provider with primary practice located at 421 N Main St , Leeds MA 01053-9764. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moorman, Susan can be contacted via phone (413) 584-4040.

Contact Information

Primary practice address
421 N Main St Leeds MA 01053-9764
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1020731 Massachusetts

Profile Details

NPI number 1073732327
LBN Legal business name Moorman, Susan
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Apr 19th, 2010 - about 16 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 1073732327 NPPES
Massachusetts MEDICAID 1300881
Massachusetts Other 0300010

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