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Individual
SUSAN FELDMAN
Active
Individual
SUSAN FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
001765
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004041000
—
CT
05
—
004217099
—
CT
05
—
004235918
—
CT
05
—
008003745
—
CT
01
—
071825
MEDICARE
—
Enumeration date
03/10/2006
Last updated
01/24/2022
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