Individual
MS. SUZANNE SHRADER GOLDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, L.I.C.S.W
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISWO1549
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1038120
BEACON HEALTH STATEGIES
RI
01
—
27350-5
BLUE CROSS BLUE SHIELD
RI
01
—
411607
BLUECHIP
RI
05
—
SG5134
—
RI
Enumeration date
03/14/2007
Last updated
07/09/2007
Update your record
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