Provider Demographics
NPI:1689761660
Name:BRINTZ, SUSAN E (MSW)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:E
Last Name:BRINTZ
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 1:5629 FM 1960 RD W
Mailing Address - Street 2:SUITE 218
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4217
Mailing Address - Country:US
Mailing Address - Phone:281-397-8181
Mailing Address - Fax:281-586-9168
Practice Address - Street 1:5629 FM 1960 RD W
Practice Address - Street 2:SUITE 218
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4217
Practice Address - Country:US
Practice Address - Phone:281-397-8181
Practice Address - Fax:281-586-9168
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX333631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical