Provider Demographics
NPI:1710197652
Name:ESSERMAN, SUSAN L (LCSW, IBCLC, LCCE)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:L
Last Name:ESSERMAN
Suffix:
Gender:F
Credentials:LCSW, IBCLC, LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CARTERET RD
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07401-1823
Mailing Address - Country:US
Mailing Address - Phone:201-385-2377
Mailing Address - Fax:
Practice Address - Street 1:2 CARTERET RD
Practice Address - Street 2:
Practice Address - City:ALLENDALE
Practice Address - State:NJ
Practice Address - Zip Code:07401-1823
Practice Address - Country:US
Practice Address - Phone:201-385-2377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC102391041C0700X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No174400000XOther Service ProvidersSpecialist