National Provider Identifier
Susan Moran
Susan Moran is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Randolph, NY and a listed phone number of (716) 535-1741.
Profile Overview
- NPI
- 1629600903
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- February 05, 2020
- Last Updated
- February 05, 2020
Practice Location
- 356 Main Street Er
- Randolph, NY 14772-9696
Phone: (716) 535-1741
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1629600903
- Entity Type
- Individual
- Last Name
- Moran
- First Name
- Susan
- Mailing Street Address
- 356 Main Street Er
- Mailing City
- Randolph
- Mailing State
- NY
- Mailing ZIP Code
- 14772-9696
- Mailing Country
- US
- Mailing Phone
- (716) 535-1741
- Practice Street Address
- 356 Main Street Er
- Practice City
- Randolph
- Practice State
- NY
- Practice ZIP Code
- 14772-9696
- Practice Country
- US
- Practice Phone
- (716) 535-1741
- Enumeration Date
- February 05, 2020
- Last Updated
- February 05, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 05, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)