Provider Demographics
NPI:1194814707
Name:CRIMIN, SUSAN KINSMAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:KINSMAN
Last Name:CRIMIN
Suffix:
Gender:F
Credentials:LCSW
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Other - First Name:
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Mailing Address - Street 1:1650W AVENUE J
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2814
Mailing Address - Country:US
Mailing Address - Phone:661-948-4693
Mailing Address - Fax:661-942-4732
Practice Address - Street 1:1529 E PALMDALE BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-2034
Practice Address - Country:US
Practice Address - Phone:661-575-1800
Practice Address - Fax:661-537-2975
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CALCS 195531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical