Provider Demographics
NPI:1831100403
Name:CARTWRIGHT, SUSAN A (LCSW, DCSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:A
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:LCSW, DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 512
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92018-0512
Mailing Address - Country:US
Mailing Address - Phone:442-273-6349
Mailing Address - Fax:
Practice Address - Street 1:30 NIGHTENGALE DR
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CA
Practice Address - Zip Code:92018
Practice Address - Country:US
Practice Address - Phone:442-273-6349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS163681041C0700X
CALCS 163681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALCS16368OtherLCSW