Provider Demographics
NPI:1891839122
Name:STEINMETZ, SUE GARDNER (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SUE
Middle Name:GARDNER
Last Name:STEINMETZ
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 1:4344 PROVINCE LINE RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-4366
Mailing Address - Country:US
Mailing Address - Phone:609-921-6814
Mailing Address - Fax:
Practice Address - Street 1:4344 PROVINCE LINE RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-4366
Practice Address - Country:US
Practice Address - Phone:609-921-6814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001568001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ069426Medicare ID - Type Unspecified