Provider Demographics
NPI:1891830865
Name:DANIEL, SUSANNA K (LICSW)
Entity Type:Individual
Prefix:MS
First Name:SUSANNA
Middle Name:K
Last Name:DANIEL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 W WINKLEY ST
Mailing Address - Street 2:# A
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-2210
Mailing Address - Country:US
Mailing Address - Phone:617-901-9284
Mailing Address - Fax:
Practice Address - Street 1:28 ELM ST
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3633
Practice Address - Country:US
Practice Address - Phone:617-901-9284
Practice Address - Fax:781-465-6027
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical