Provider Demographics
NPI:1669652053
Name:BILKER, SUSAN GOLDFINGER (LCSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:GOLDFINGER
Last Name:BILKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10133 VERREE RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-3613
Mailing Address - Country:US
Mailing Address - Phone:215-673-7741
Mailing Address - Fax:215-673-9034
Practice Address - Street 1:2100 ARCH ST FL 5
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-1300
Practice Address - Country:US
Practice Address - Phone:215-496-9700
Practice Address - Fax:215-496-6622
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW014015101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000008810019OtherDPW PDA WAIVER
PA1000008810025OtherDEPT OF PUBLIC WELFARE
PA1000008810009Medicaid
PA663348Medicare PIN