Provider Demographics
NPI:1508091935
Name:NOCH, SUZANNAH ESTHER (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNAH
Middle Name:ESTHER
Last Name:NOCH
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 1:2021 VAN KARAJAN DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-1607
Mailing Address - Country:US
Mailing Address - Phone:310-308-1382
Mailing Address - Fax:
Practice Address - Street 1:25500 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 2200
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6829
Practice Address - Country:US
Practice Address - Phone:310-528-1918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS148981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical