Provider Demographics
NPI:1689971327
Name:KUHL, SUZANNE J (LICSW)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:J
Last Name:KUHL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 BAY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-2650
Mailing Address - Country:US
Mailing Address - Phone:978-810-6515
Mailing Address - Fax:
Practice Address - Street 1:101 BAY VIEW DR
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-2650
Practice Address - Country:US
Practice Address - Phone:978-810-6515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1180361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA107314000OtherIOWA PLAN