Provider Demographics
NPI:1376763375
Name:VETERE, SUZANNE C (LCSW, LISAC)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:C
Last Name:VETERE
Suffix:
Gender:F
Credentials:LCSW, LISAC
Other - Prefix:
Other - First Name:SUE
Other - Middle Name:C
Other - Last Name:PIRC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LISAC
Mailing Address - Street 1:37 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-4062
Mailing Address - Country:US
Mailing Address - Phone:520-360-4064
Mailing Address - Fax:
Practice Address - Street 1:37 WESTMINSTER DR
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-4062
Practice Address - Country:US
Practice Address - Phone:520-360-4064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC-10313101YM0800X
AZLCSW-116141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health