DR. Carol M Sussal, LCSW SOLE PROPRIETOR

NPI #1164989984 in NY, New York

Provider Information

NPI Number
1164989984
Entity Type
Individual
Name
DR. Carol M Sussal, LCSW SOLE PROPRIETOR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW SOLE PROPRIETOR
Enumeration Date
Feb 28, 2019
Last Updated
Feb 28, 2019

Practice Location

Address
222 W 14 ST
Address 2
12B
City
NY
ZIP Code
10011-7226
Phone
(212) 989-5675

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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