Provider Demographics
NPI:1215210372
Name:HURLEY, SUSAN PADGETT (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:PADGETT
Last Name:HURLEY
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 1:5938 CRESCENT DR.
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28610-8175
Mailing Address - Country:US
Mailing Address - Phone:828-441-7808
Mailing Address - Fax:
Practice Address - Street 1:5938 CRESCENT DR.
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NC
Practice Address - Zip Code:28610-8175
Practice Address - Country:US
Practice Address - Phone:828-441-7808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCOO1271101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health