Provider Demographics
NPI:1063447357
Name:JAMES, SUSAN W (MSW)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:W
Last Name:JAMES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:W
Other - Last Name:WHITFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:919 MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095
Mailing Address - Country:US
Mailing Address - Phone:413-596-9059
Mailing Address - Fax:413-596-2366
Practice Address - Street 1:919 MAIN ST.
Practice Address - Street 2:
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095
Practice Address - Country:US
Practice Address - Phone:413-596-9059
Practice Address - Fax:413-596-2366
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1044851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical