Provider Demographics
NPI:1154301562
Name:LAWRIMORE, SUZANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:
Last Name:LAWRIMORE
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 1:2193 5TH ST NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1503
Mailing Address - Country:US
Mailing Address - Phone:828-291-6002
Mailing Address - Fax:888-315-0298
Practice Address - Street 1:2193 5TH ST NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-1503
Practice Address - Country:US
Practice Address - Phone:828-291-6002
Practice Address - Fax:888-315-0298
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2015-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0013051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC001305OtherLICENSE NUMBER