Provider Demographics
NPI:1346589355
Name:GABLE, SUZANNE M (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:M
Last Name:GABLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:SUZANNE L
Other - Middle Name:M
Other - Last Name:DEVERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:7 NICKLAUS WAY
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3289
Mailing Address - Country:US
Mailing Address - Phone:856-866-6606
Mailing Address - Fax:
Practice Address - Street 1:16 LIVINGSTON LN
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-6210
Practice Address - Country:US
Practice Address - Phone:856-866-6606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-11
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055325001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical