Ms. Susan J Conklin, LICSW, BCD
Contractor in Williamstown, Massachusetts
1043439409- Practice location
- 85 Hawthorne RD, Williamstown, MA 01267-2700
- Phone
- 413-884-4129
- Fax
- 413-458-9181
- Last updated
- July 9, 2007
Susan Joan Conklin is a Contractor based in Williamstown, MA. Susan Joan Conklin practices in Williamstown, MA and has the professional credentials of LICSW, BCD. The NPI Number for Susan Joan Conklin is 1043439409 and holds a License No. 100143 (MA). The current practice location address for Susan Joan Conklin is 85 Hawthorne RD, Williamstown, MA 01267-2700 and can be reached out via phone at 413-884-4129 and via fax at 413-458-9181.
Provider Profile Details
- NPI Number
- 1043439409
- Provider Name
- Susan Joan Conklin
- Credential
- LICSW, BCD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 85 Hawthorne RD, Williamstown, MA 01267-2700
- Phone Number
- 413-884-4129
- Fax Number
- 413-458-9181
- Primary Taxonomy
- Contractor · 171W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 24, 2007
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 85 Hawthorne RD
Williamstown, MA 01267-2700 - City
- Williamstown
- State
- Massachusetts
- Zip
- 01267-2700
- Phone Number
- 413-884-4129
- Fax Number
- 413-458-9181
Provider Business Mailing Address Details
- Address
- 85 Hawthorne RD
Williamstown, MA 01267-2700 - City
- Williamstown
- State
- MA
- Zip
- 01267-2700
- Phone Number
- 413-884-4129
- Fax Number
- 413-458-9181
License Information
- License Number
- 100143
- License State
- MA
- Taxonomy
- Contractor · 171W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Susan J Conklin, LICSW, BCD?
The NPI number of Ms. Susan J Conklin, LICSW, BCD is 1043439409. It was assigned on April 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Susan J Conklin, LICSW, BCD?
Ms. Susan J Conklin, LICSW, BCD is registered under the primary taxonomy Contractor (code 171W00000X), licensed in MA under license number 100143.
Where does Ms. Susan J Conklin, LICSW, BCD practice?
The practice location is 85 Hawthorne RD, Williamstown, MA 01267-2700. The office can be reached at 413-884-4129 (phone) or 413-458-9181 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043439409 directly on the NPPES registry website.