Provider Demographics
NPI:1669739520
Name:MERRIHEW, SUSAN K (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:K
Last Name:MERRIHEW
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 1:341 DILORENZO DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-6341
Mailing Address - Country:US
Mailing Address - Phone:630-961-1343
Mailing Address - Fax:
Practice Address - Street 1:10 S WASHINGTON ST
Practice Address - Street 2:SUITE 201
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-8508
Practice Address - Country:US
Practice Address - Phone:630-281-4109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-17
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490118381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical