Provider Demographics
NPI:1467964296
Name:BERMAN, SUZANNE HABER (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:HABER
Last Name:BERMAN
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 1:53 SPRINGBROOK RD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3331
Mailing Address - Country:US
Mailing Address - Phone:973-900-1341
Mailing Address - Fax:973-587-6640
Practice Address - Street 1:53 SPRINGBROOK RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3331
Practice Address - Country:US
Practice Address - Phone:973-900-1341
Practice Address - Fax:973-587-6640
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-02
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC059964001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical