Philibert, Susanna M

Philibert, Susanna M is an individual health care provider with primary practice located at East Bay Mental Health Center 2 Old County Road, Barrington RI 02806. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Philibert, Susanna M can be contacted via phone (401) 246-1195.

Contact Information

Primary practice address
East Bay Mental Health Center 2 Old County Road Barrington RI 02806
Phone: (401) 246-1195
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDP00050 Rhode Island
Behavioral Health & Social Service Providers / Social Worker 104100000X 1SW01479 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01479 Rhode Island

Profile Details

NPI number 1013928696
LBN Legal business name Philibert, Susanna M
Credentials LICSW, LCDP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Apr 28th, 2008 - about 18 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 1013928696 NPPES
Other 41006 BLUE CHIP
Other 264772 BLUE CHIP
Other 62-47775 BLUE CHIP

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