| Susan Wexler Crater Lcsw Llc | |
|
9114 58th Dr E Ste 114 Bradenton FL 34202-9074 | |
| (941) 961-8852 | |
| Not Available |
| Full Name | Susan Wexler Crater Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9114 58th Dr E Ste 114, Bradenton, Florida |
| Authorized Official Name and Position | Susan Wexler Crater (OWNER) |
| Authorized Official Contact | 9419618852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Wexler Crater Lcsw Llc 4821 Royal Dornoch Cir Bradenton FL 34211-8444 Ph: () - | Susan Wexler Crater Lcsw Llc 9114 58th Dr E Ste 114 Bradenton FL 34202-9074 Ph: (941) 961-8852 |
| NPI Number | 1922579069 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/16/2018 |
| Medicare PECOS PAC ID | 7113350349 |
|---|---|
| Medicare Enrollment ID | O20191202002503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922579069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan W Crater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710347497 PECOS PAC ID: 8527365774 Enrollment ID: I20160401001652 |
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