Provider Demographics
NPI:1346400900
Name:HOENNINGER, SUSAN IRENE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:IRENE
Last Name:HOENNINGER
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 1:2104 POPPYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-4519
Mailing Address - Country:US
Mailing Address - Phone:702-263-4709
Mailing Address - Fax:702-263-4491
Practice Address - Street 1:2104 POPPYWOOD AVE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-4519
Practice Address - Country:US
Practice Address - Phone:702-263-4709
Practice Address - Fax:702-263-4491
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2573C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical