Provider Demographics
NPI:1568699031
Name:DEVOTI, SUZANNE C (LCSW)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:C
Last Name:DEVOTI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:C
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:37 COURT ST
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-1709
Mailing Address - Country:US
Mailing Address - Phone:732-780-7387
Mailing Address - Fax:732-780-5157
Practice Address - Street 1:37 COURT ST
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-1709
Practice Address - Country:US
Practice Address - Phone:732-780-7387
Practice Address - Fax:732-780-5157
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053859001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical