Provider Demographics
NPI:1013996677
Name:SUSKO, JOAN C (LSW,LPC,SAP,CRC)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:C
Last Name:SUSKO
Suffix:
Gender:F
Credentials:LSW,LPC,SAP,CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 ARNOLD AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:PA
Mailing Address - Zip Code:15342-1420
Mailing Address - Country:US
Mailing Address - Phone:724-747-4500
Mailing Address - Fax:724-746-2557
Practice Address - Street 1:115 ARNOLD AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:PA
Practice Address - Zip Code:15342-1420
Practice Address - Country:US
Practice Address - Phone:724-747-4500
Practice Address - Fax:724-746-2557
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW013086L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical