Provider Demographics
NPI:1518154632
Name:IRONS, SUSIE Z (ASW)
Entity Type:Individual
Prefix:MRS
First Name:SUSIE
Middle Name:Z
Last Name:IRONS
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:MS
Other - First Name:SUSIE
Other - Middle Name:
Other - Last Name:ZAMORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1965 LIVE OAK BLVD STE A
Mailing Address - Street 2:PO BOX 1520
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-8850
Mailing Address - Country:US
Mailing Address - Phone:530-822-7513
Mailing Address - Fax:530-822-7514
Practice Address - Street 1:1965 LIVE OAK BLVD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-8850
Practice Address - Country:US
Practice Address - Phone:530-822-7513
Practice Address - Fax:530-822-7514
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical