Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. AUGUST SUPAN, MSW
ActiveMR. AUGUST SUPAN, MSW is a Clinical Social Worker healthcare provider located in MATTOON, Illinois. NPI 1598851040 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MATTOON, IL
Registration Details
- NPI Number
- 1598851040
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.853130016474 yrs)
- Last Updated
- Aug 4, 2015
- License
-
149-007817 (IL)
Practice Information
- Address
-
750 BROADWAY AVE EMATTOON, IL, 619384610Browse IL providers · Browse ZIP 61938
- Phone
- 2172385700
- Fax
- 2172385767
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MATTOON, IL
| Name | Credential | NPI |
|---|---|---|
| THERESA MAI DITCHFIELD | LCSW | 1174572333 |
| MRS. RACHEL L DUHAMELL | MSW | 1083726657 |
| TERRA LYNN OGLE | LCSW | 1336322734 |
| JANIS L WOLF | LCSW | 1497924914 |
| MELISSA B MILLER | LCSW | 1932425550 |
| KAYLA RENEE ALTHOFF | LCSW | 1760792550 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.