Provider Demographics
NPI:1760969901
Name:NORTON, SUZANNE MARIE (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:MARIE
Last Name:NORTON
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 1:109 SKILLINGS RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-2857
Mailing Address - Country:US
Mailing Address - Phone:781-721-7136
Mailing Address - Fax:781-721-0926
Practice Address - Street 1:109 SKILLINGS RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2857
Practice Address - Country:US
Practice Address - Phone:781-721-7136
Practice Address - Fax:781-721-0926
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2142131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA214213OtherDIVISION OF PROFESSIONAL LICENSURE, BOARD OF SOCIAL WORKERS