Provider Demographics
NPI:1164934626
Name:WOOMER, SUSAN (LCSW,LCADC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:WOOMER
Suffix:
Gender:F
Credentials:LCSW,LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SHEEHAN DR
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07438-9324
Mailing Address - Country:US
Mailing Address - Phone:973-936-4568
Mailing Address - Fax:
Practice Address - Street 1:12 SHEEHAN DR
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07438-9324
Practice Address - Country:US
Practice Address - Phone:973-936-4568
Practice Address - Fax:973-936-4568
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-24
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)