Active NPIIndividual providerSole proprietor

Susan M Blayer, LCSW, MDIV

Social Worker, Clinical in Mansfield Center, Connecticut

NPI Number1225172281
Practice location
46 Samuel Ln, Mansfield Center, CT 06250-1557
Fax
—
Last updated
April 15, 2019

Susan Marie Blayer is a Social Worker, Clinical based in Mansfield Center, CT. Susan Marie Blayer practices in Mansfield Center, CT and has the professional credentials of LCSW, MDIV. The NPI Number for Susan Marie Blayer is 1225172281 and holds a License No. 065751-1 (NY). The current practice location address for Susan Marie Blayer is 46 Samuel Ln, Mansfield Center, CT 06250-1557 and can be reached out via phone at 347-387-5648.

Provider Profile Details

NPI Number
1225172281
Provider Name
Susan Marie Blayer
Credential
LCSW, MDIV
Provider Entity Type
Individual
Gender
Female
Address
46 Samuel Ln, Mansfield Center, CT 06250-1557
Phone Number
347-387-5648
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 16, 2007
Last Update Date
April 15, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Samuel Ln
Mansfield Center, CT 06250-1557
Zip
06250-1557
Phone Number
347-387-5648
Mansfield Center, CT 06250Get directions →

Provider Business Mailing Address Details

Address
46 Samuel Ln
Mansfield Center, CT 06250-1557
City
Mansfield Center
State
CT
Zip
06250-1557
Phone Number
347-387-5648

License Information

License Number
065751-1
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Susan M Blayer, LCSW, MDIV?

The NPI number of Susan M Blayer, LCSW, MDIV is 1225172281. It was assigned on February 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Susan M Blayer, LCSW, MDIV?

Susan M Blayer, LCSW, MDIV is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 065751-1.

Where does Susan M Blayer, LCSW, MDIV practice?

The practice location is 46 Samuel Ln, Mansfield Center, CT 06250-1557. The office can be reached at 347-387-5648 (phone).

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 1225172281 directly on the NPPES registry website.

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