Search › Wisconsin › 1041C0700X
Susan Shopodock, CLINICAL SOCIAL WORK
NPI 1225743230 · on the registry since 2023
Practice
- Address
- 816 Washington St
Manitowoc, WI 54220 - Phone
- (920) 645-3743
- Organisation at this address
- Summit Clinical Services Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
101YM0800X
104100000X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin