Steps Of Success, Llc | |
629 N Wilson Rd Radcliff KY 40160-2131 | |
(270) 319-4111 | |
(270) 319-4912 |
Full Name | Steps Of Success, Llc |
---|---|
Speciality | Social Worker |
Location | 629 N Wilson Rd, Radcliff, Kentucky |
Authorized Official Name and Position | Susan Novella Arias (OWNER/PROVIDER) |
Authorized Official Contact | 2703194911 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Steps Of Success, Llc 629 N Wilson Rd Radcliff KY 40160-2131 Ph: (270) 319-4911 | Steps Of Success, Llc 629 N Wilson Rd Radcliff KY 40160-2131 Ph: (270) 319-4111 |
NPI Number | 1780223636 |
---|---|
Provider Enumeration Date | 12/24/2019 |
Last Update Date | 10/08/2024 |
Certification Date | 10/08/2024 |
Medicare PECOS PAC ID | 3173934429 |
---|---|
Medicare Enrollment ID | O20201118001215 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780223636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Susan N Arias |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760776686 PECOS PAC ID: 3173828654 Enrollment ID: I20160222000405 |
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