Provider Demographics
NPI:1093732703
Name:LOVITZ, SUZANNE L (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:L
Last Name:LOVITZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2469 NAVARRE WAY
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-6535
Mailing Address - Country:US
Mailing Address - Phone:757-613-4360
Mailing Address - Fax:866-929-4482
Practice Address - Street 1:712 HILLINGDON CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6455
Practice Address - Country:US
Practice Address - Phone:757-613-4360
Practice Address - Fax:866-929-4482
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2009-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040061061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical