Provider Demographics
NPI:1689854101
Name:KESSLER, SUSAN P (MSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:P
Last Name:KESSLER
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 1:8 HENSHAW ST
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-4624
Mailing Address - Country:US
Mailing Address - Phone:781-935-5751
Mailing Address - Fax:781-935-5250
Practice Address - Street 1:8 HENSHAW ST
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-4624
Practice Address - Country:US
Practice Address - Phone:781-935-5751
Practice Address - Fax:781-935-5250
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10169851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical