Provider Demographics
NPI:1629129549
Name:AUMEND, SUE A (LCSW, ACSW)
Entity Type:Individual
Prefix:MRS
First Name:SUE
Middle Name:A
Last Name:AUMEND
Suffix:
Gender:F
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 KATHRYN DR
Mailing Address - Street 2:SUITE 800
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-4216
Mailing Address - Country:US
Mailing Address - Phone:972-247-3000
Mailing Address - Fax:214-432-2501
Practice Address - Street 1:105 KATHRYN DR
Practice Address - Street 2:SUITE 800
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4216
Practice Address - Country:US
Practice Address - Phone:972-247-3000
Practice Address - Fax:214-432-2501
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX026111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0640237-01Medicaid
TX2034344OtherCIGNA
TX00S22NOtherBLUE CROSS-BLUE SHIELD
TX036482OtherVALUEOPTIONS
TX113138790OtherUNITED BEHAVIORAL HEALTH
TX113138790OtherUNITED BEHAVIORAL HEALTH