Provider Demographics
NPI:1629100417
Name:PARIENTE, SUSANNE (MSW,LICSW)
Entity Type:Individual
Prefix:MS
First Name:SUSANNE
Middle Name:
Last Name:PARIENTE
Suffix:
Gender:F
Credentials:MSW,LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-1925
Mailing Address - Country:US
Mailing Address - Phone:781-396-1806
Mailing Address - Fax:781-396-5086
Practice Address - Street 1:1 PLEASANT LN
Practice Address - Street 2:
Practice Address - City:MARBLEHEAD
Practice Address - State:MA
Practice Address - Zip Code:01945-2341
Practice Address - Country:US
Practice Address - Phone:781-639-2039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1062591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical