Provider Demographics
NPI:1790848521
Name:DEPEW, SUE RAMSEY (LCSW MSSW)
Entity Type:Individual
Prefix:MS
First Name:SUE
Middle Name:RAMSEY
Last Name:DEPEW
Suffix:
Gender:F
Credentials:LCSW MSSW
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:DEPEW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:3000 RICHMOND AVE
Mailing Address - Street 2:SUITE 425
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3188
Mailing Address - Country:US
Mailing Address - Phone:713-980-9880
Mailing Address - Fax:713-523-5779
Practice Address - Street 1:3000 RICHMOND AVE
Practice Address - Street 2:SUITE 425
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3188
Practice Address - Country:US
Practice Address - Phone:713-980-9880
Practice Address - Fax:713-523-5779
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX140181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX611018Medicare ID - Type Unspecified