Provider Demographics
NPI:1891021036
Name:SUHER, RANDA (LCSW)
Entity Type:Individual
Prefix:
First Name:RANDA
Middle Name:
Last Name:SUHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 GARFIELD PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-1903
Mailing Address - Country:US
Mailing Address - Phone:917-841-7026
Mailing Address - Fax:718-789-0280
Practice Address - Street 1:37 GARFIELD PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1903
Practice Address - Country:US
Practice Address - Phone:917-841-7026
Practice Address - Fax:718-789-0280
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2012-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR032466-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical