Provider Demographics
NPI:1013159797
Name:STRICKLAND, SUSAN MCCARTHY (PHD, MSW)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:MCCARTHY
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S COLUMBIA DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-4112
Mailing Address - Country:US
Mailing Address - Phone:770-601-4086
Mailing Address - Fax:
Practice Address - Street 1:500 S COLUMBIA DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-4112
Practice Address - Country:US
Practice Address - Phone:770-601-4086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0019391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical