Provider Demographics
NPI:1194865105
Name:MCCUE, SUSAN ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:ELIZABETH
Last Name:MCCUE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:MCCUE
Other - Last Name:ROHMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1255
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-1255
Mailing Address - Country:US
Mailing Address - Phone:530-342-0070
Mailing Address - Fax:530-342-0070
Practice Address - Street 1:6 GOVERNORS LN STE A
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-5590
Practice Address - Country:US
Practice Address - Phone:530-342-0070
Practice Address - Fax:530-342-0070
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 259101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical