Provider Demographics
NPI:1033408091
Name:RIEMER, SUSANNE R (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:SUSANNE
Middle Name:R
Last Name:RIEMER
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 POOR FARM RD
Mailing Address - Street 2:
Mailing Address - City:NEW IPSWICH
Mailing Address - State:NH
Mailing Address - Zip Code:03071-3835
Mailing Address - Country:US
Mailing Address - Phone:603-291-0006
Mailing Address - Fax:
Practice Address - Street 1:19 FEDERAL ST
Practice Address - Street 2:MAPS COUNSELING SERVICES
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3632
Practice Address - Country:US
Practice Address - Phone:603-355-2244
Practice Address - Fax:603-355-2299
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH15671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH002438501OtherPTAN
NH3071855Medicaid