Racheal Susaeta
Racheal Susaeta is a Clinical Social Worker in South Jordan, Utah. Qualified in 2023, 3 years ago. Registered with an NPI since 2022.
- Years since qualifying
- 3
- In the registry since
- 2022
Practice location Address checks out
873 W Baxter DrSouth Jordan, UT 84095-8506
Phone: (801) 446-3515
Fax: (801) 601-1578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1700596566 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 1, 2022 |
| Last updated in NPPES | March 14, 2025 |
| Certification date | March 14, 2025 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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