Ms Susan De Tarr, MSW, CADC 1 is a
Social Worker - Clinical based in Albany, Oregon. Ms Susan De Tarr is licensed to practice in Oregon (license number L5953) and her current practice location is
2225 Pacific Blvd Se Ste 101, Albany, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 655-8264.
NPI number for Ms Susan De Tarr is 1104006725 and her current mailing address is 2225 Pacific Blvd Se Ste 101, Albany, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104006725.
Healthcare Provider's Profile
Full Name | Ms Susan De Tarr |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2225 Pacific Blvd Se Ste 101, Albany, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104006725
- Provider Enumeration Date: 11/12/2007
- Last Update Date: 08/16/2023
Medical Identifiers
Medical identifiers for Ms Susan De Tarr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104006725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | L5953 (Oregon) | 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 De Tarr 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 De Tarr, MSW, CADC 1 2225 Pacific Blvd Se Ste 101, Albany, OR 97321-7903 Ph: () - | Ms Susan De Tarr, MSW, CADC 1 2225 Pacific Blvd Se Ste 101, Albany, OR 97321-7903 Ph: (503) 655-8264 |
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