Jake Sussman, LCSW
NPI #1245935931 in Mountainside, New Jersey
Provider Information
- NPI Number
- 1245935931
- Entity Type
- Individual
- Name
- Jake Sussman, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Apr 3, 2023
- Last Updated
- Apr 3, 2023
Practice Location
- Address
- 615 SHERWOOD PKWY
- City
- Mountainside
- State
- New Jersey
- ZIP Code
- 07092-2525
- Phone
- (732) 991-7248
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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