Provider Demographics
NPI:1942440060
Name:COTE, SUSAN ARDEN (LCSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:ARDEN
Last Name:COTE
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 1:11726 MAJOR TURNER RUN
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-1236
Mailing Address - Country:US
Mailing Address - Phone:973-432-0746
Mailing Address - Fax:
Practice Address - Street 1:11726 MAJOR TURNER RUN
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-1236
Practice Address - Country:US
Practice Address - Phone:973-432-0746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW120501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical