Provider Demographics
NPI:1528552676
Name:SANKAR, SUZANNE K (MSW)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:K
Last Name:SANKAR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 PHILLIPS LN
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02460-2219
Mailing Address - Country:US
Mailing Address - Phone:617-797-7368
Mailing Address - Fax:
Practice Address - Street 1:11 PHILLIPS LN
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02460-2219
Practice Address - Country:US
Practice Address - Phone:617-797-7368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1033681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical