Individual
SUSAN LEE PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
089-0000665
VT
104100000X
Social Worker
089-0000665
VT
1041C0700X
Clinical Social Worker
Primary
089-0000665
VT
1041S0200X
School Social Worker
089-0000665
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007303
—
VT
01
—
2018856
CIGNA
—
01
—
360768
MANAGED HEALTH NET
—
01
—
38183
BLUE CROSS
—
Enumeration date
08/05/2006
Last updated
10/02/2015
Update your record
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