Provider Demographics
NPI:1821306754
Name:MURPHY, SUSAN J (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 LOGAN CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6412
Mailing Address - Country:US
Mailing Address - Phone:719-822-4939
Mailing Address - Fax:
Practice Address - Street 1:4935 N 30TH ST STE 130
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-3109
Practice Address - Country:US
Practice Address - Phone:719-822-4393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099231001041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical