| Doctor Name: | MS. SUSAN R RISKIN |
| NPI Number: | 1003970708 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 066272 |
| Business Practice Address: | 21300 Coleman Blvd Boca Raton, FL - 334282175 |
| Business Phone Number: | 5618523333 |
| Business Fax Number: | 5618523332 |
| Mailing Address: | 7006 Huntington Lane, #207 DELRAY BEACH |
| State: | FL |
| Postal Code: | 334462504 |
| Phone Number: | 5618655415 |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 03/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 066272 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |