Susan Stewart Whiteaker, LICSW is a
Social Worker - Clinical based in Fort Snelling, Minnesota. Susan Stewart Whiteaker is licensed to practice in Minnesota (license number 11771) and her current practice location is
506 Roeder Cir, Fort Snelling, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 713-3255.
NPI number for Susan Stewart Whiteaker is 1881730430 and her current mailing address is 8663 Oak Hill Cir, Prior Lake, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881730430.
Healthcare Provider's Profile
Full Name | Susan Stewart Whiteaker |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 506 Roeder Cir, Fort Snelling, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881730430
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Susan Stewart Whiteaker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881730430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 11771 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Stewart Whiteaker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Susan Stewart Whiteaker, LICSW 8663 Oak Hill Cir, Prior Lake, MN 55372-9187 Ph: (612) 991-8997 | Susan Stewart Whiteaker, LICSW 506 Roeder Cir, Fort Snelling, MN 55111-4017 Ph: (612) 713-3255 |
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