Active NPIIndividual provider

Susan Bastow-Gonzalez

Social Worker, Clinical in Bridgeton, New Jersey

NPI Number1376221267
Practice location
333 Irving Ave, Bridgeton, NJ 08302-2123
Fax
—
Last updated
July 10, 2023

Susan Bastow-Gonzalez is a Social Worker, Clinical based in Bridgeton, NJ. Susan Bastow-Gonzalez practices in Bridgeton, NJ. The NPI Number for Susan Bastow-Gonzalez is 1376221267 and holds a License No. 44sc06197100 (NJ). The current practice location address for Susan Bastow-Gonzalez is 333 Irving Ave, Bridgeton, NJ 08302-2123 and can be reached out via phone at 856-507-2730.

Provider Profile Details

NPI Number
1376221267
Provider Name
Susan Bastow-Gonzalez
Provider Entity Type
Individual
Gender
Female
Address
333 Irving Ave, Bridgeton, NJ 08302-2123
Phone Number
856-507-2730
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 10, 2023
Last Update Date
July 10, 2023
Certification Date
July 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
333 Irving Ave
Bridgeton, NJ 08302-2123
Zip
08302-2123
Phone Number
856-507-2730
Bridgeton, NJ 08302Get directions →

Provider Business Mailing Address Details

Address
333 Irving Ave
Bridgeton, NJ 08302-2123
City
Bridgeton
State
NJ
Zip
08302-2123

License Information

License Number
44sc06197100
License State
NJ
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 Bastow-Gonzalez?

The NPI number of Susan Bastow-Gonzalez is 1376221267. It was assigned on July 10, 2023 and is currently active in the NPPES registry.

What is the specialty of Susan Bastow-Gonzalez?

Susan Bastow-Gonzalez is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44sc06197100.

Where does Susan Bastow-Gonzalez practice?

The practice location is 333 Irving Ave, Bridgeton, NJ 08302-2123. The office can be reached at 856-507-2730 (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 1376221267 directly on the NPPES registry website.

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