NPI 1104881234 · live from the CMS NPI Registry
Susan M Ackerman, MSW
Social Worker, Clinical in Glenwood Springs, CO. National Provider Identifier 1104881234, active.
NPI record
| NPI | 1104881234 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 6916 Highway 82, Glenwood Springs, CO 81601 |
| Practice phone | 970-945-2583 |
| Mailing address | Po Box 40, Glenwood Springs, CO 81602 |
| Enumerated | April 20, 2006 |
| Last updated | July 9, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 989371 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.