Ms Susan Vanderpool, RN, LCSW-R is a
Social Worker - Clinical based in Peconic, New York. Ms Susan Vanderpool is licensed to practice in New York (license number R037455-1) and her current practice location is
32636 County Rd. 48, Peconic, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 276-1048.
NPI number for Ms Susan Vanderpool is 1396058152 and her current mailing address is P.o.box 432, Orient, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396058152.
Provider's Profile
| Full Name | Ms Susan Vanderpool |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 32636 County Rd. 48, Peconic, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396058152
- Provider Enumeration Date: 07/22/2010
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Ms Susan Vanderpool such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396058152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 679702 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | R037455-1 (New York) | 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. Ms Susan Vanderpool 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 |
|---|
Ms Susan Vanderpool, RN, LCSW-R
P.o.box 432,
Orient, NY 11957
Ph: (631) 276-1048 | Ms Susan Vanderpool, RN, LCSW-R
32636 County Rd. 48,
Peconic, NY 11958
Ph: (631) 276-1048 |
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