Taggart, Suzanne
Taggart, Suzanne is an individual health care provider with primary practice located at 1905 Stadium Blvd , Jefferson City MO 65109-1961. She recently has 2 registered licenses in different health care specialties including 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. Taggart, Suzanne can be contacted via phone (888) 403-1071.Contact Information
Primary practice address
1905 Stadium Blvd
Jefferson City MO 65109-1961
Phone: (888) 403-1071
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 004915 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 004915 | Missouri |
Profile Details
| NPI number | 1891765566 |
|---|---|
| LBN Legal business name | Taggart, Suzanne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Apr 17th, 2025 - about last year |
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 | 1891765566 | NPPES |
| Missouri | MEDICAID | 494972706 |
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