Provider Demographics
NPI:1417304692
Name:CAHILL, SUZAN C (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:SUZAN
Middle Name:C
Last Name:CAHILL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 NORTH ST. SUITE 26D
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201
Mailing Address - Country:US
Mailing Address - Phone:413-841-1487
Mailing Address - Fax:
Practice Address - Street 1:150 NORTH ST. SUITE 26D
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201
Practice Address - Country:US
Practice Address - Phone:413-445-8838
Practice Address - Fax:413-445-8820
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2166131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical