Provider Demographics
NPI:1851439921
Name:STONBELY, SUZANNE M (PHD LCSW)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:M
Last Name:STONBELY
Suffix:
Gender:F
Credentials:PHD LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 LINCOLN ROAD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2570
Mailing Address - Country:US
Mailing Address - Phone:305-604-8933
Mailing Address - Fax:
Practice Address - Street 1:1901 BRICKELL AVE APT B1214
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-1757
Practice Address - Country:US
Practice Address - Phone:305-490-1738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00034501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ7099ZMedicare PIN