Active NPIIndividual providerSole proprietor

Susan Fasulo

Social Worker, Clinical in Augusta, Maine

NPI Number1962819201
Practice location
250 Arsenal St, State House Station 11, Augusta, ME 04330-5742
Fax
—
Last updated
September 4, 2014

Susan Fasulo is a Social Worker, Clinical based in Augusta, ME. Susan Fasulo practices in Augusta, ME. The NPI Number for Susan Fasulo is 1962819201 and holds a License No. LC14158 (ME). The current practice location address for Susan Fasulo is 250 Arsenal St, State House Station 11, Augusta, ME 04330-5742 and can be reached out via phone at 207-215-9079.

Provider Profile Details

NPI Number
1962819201
Provider Name
Susan Fasulo
Provider Entity Type
Individual
Gender
Female
Address
250 Arsenal St, State House Station 11, Augusta, ME 04330-5742
Phone Number
207-215-9079
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2014
Last Update Date
September 4, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
250 Arsenal St
State House Station 11
Augusta, ME 04330-5742
State
Maine
Zip
04330-5742
Phone Number
207-215-9079
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
250 Arsenal St
State House Station 11
Augusta, ME 04330-5742
City
Augusta
State
ME
Zip
04330-5742
Phone Number
207-215-9079

License Information

License Number
LC14158
License State
ME
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 Fasulo?

The NPI number of Susan Fasulo is 1962819201. It was assigned on July 18, 2014 and is currently active in the NPPES registry.

What is the specialty of Susan Fasulo?

Susan Fasulo is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC14158.

Where does Susan Fasulo practice?

The practice location is 250 Arsenal St, State House Station 11, Augusta, ME 04330-5742. The office can be reached at 207-215-9079 (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 1962819201 directly on the NPPES registry website.

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