| Doctor Name: | DR. SUSAN CIARDIELLO |
| NPI Number: | 1194972695 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., LCSW |
| License Number: | R053487 |
| Business Practice Address: | 910 Stuart Ave #5l Mamaroneck, NY - 105434134 |
| Business Phone Number: | 9175840141 |
| Business Fax Number: | |
| Mailing Address: | 910 Stuart Ave, #5l MAMARONECK |
| State: | NY |
| Postal Code: | 105434134 |
| Phone Number: | 9175840141 |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2008 |
| NPI Last Update Date: | 08/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | R053487 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |