Doctor Name: | SUSAN MALEWICZ |
NPI Number: | 1003196809 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW CASAC CSAT SAP |
License Number: | 076909 |
Business Practice Address: | 600 Johnson Ave Suite B7 Bohemia, NY - 117162614 |
Business Phone Number: | 6317505616 |
Business Fax Number: | 6317505616 |
Mailing Address: | 600 Johnson Ave, Suite B7 BOHEMIA |
State: | NY |
Postal Code: | 117162614 |
Phone Number: | 6317505616 |
Fax Number: | 6317505616 |
NPI Enumeration Date: | 08/24/2011 |
NPI Last Update Date: | 08/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 076909 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |