Provider Demographics
NPI:1497746283
Name:SAUNDERS, SUSAN LONGMAN (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:LONGMAN
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:L
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:23 THURSTON DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-2443
Mailing Address - Country:US
Mailing Address - Phone:973-716-9881
Mailing Address - Fax:973-716-9112
Practice Address - Street 1:3 BEECHWOOD RD
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2528
Practice Address - Country:US
Practice Address - Phone:908-273-7878
Practice Address - Fax:973-716-9112
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05864001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ707824Medicare UPIN