Provider Demographics
NPI:1346547189
Name:STOKES, SUSAN E (LBSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:E
Last Name:STOKES
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 S ONG ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-2335
Mailing Address - Country:US
Mailing Address - Phone:806-282-0535
Mailing Address - Fax:806-371-9245
Practice Address - Street 1:2610 S ONG ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-2335
Practice Address - Country:US
Practice Address - Phone:806-282-0535
Practice Address - Fax:806-371-9245
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18853104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker