Shuster, Susan H.
Shuster, Susan H. is an individual health care provider with primary practice located at 2200 Opitz Blvd Suite # 214A, Woodbridge VA 22191-3321. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Shuster, Susan H. can be contacted via phone (703) 494-6880.Contact Information
Primary practice address
2200 Opitz Blvd Suite # 214A
Woodbridge VA 22191-3321
Phone: (703) 494-6880
Fax: (703) 492-0505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0710000533 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904002097 | Virginia |
Profile Details
| NPI number | 1780678508 |
|---|---|
| LBN Legal business name | Shuster, Susan H. |
| Credentials | L.C.S.W., C.S.A.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780678508 | NPPES |
| Virginia | Other | 210658 | BC/BS FEP |
| Virginia | Other | 346665 | BC/BS FEP |
| Virginia | MEDICAID | 89-0255-1 | BC/BS FEP |
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