Provider Demographics
NPI:1760967046
Name:LITTLE, SUZANNE BEANE (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:BEANE
Last Name:LITTLE
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 1:6 GRANDVIEW LN
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-1075
Mailing Address - Country:US
Mailing Address - Phone:413-527-8536
Mailing Address - Fax:413-527-8536
Practice Address - Street 1:6 GRANDVIEW LN
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1075
Practice Address - Country:US
Practice Address - Phone:413-527-8536
Practice Address - Fax:413-527-8536
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10209361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical