Provider Demographics
NPI:1770083974
Name:FLETCHER, SUSAN W (LCPC)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:W
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 SAINT HELEN CIR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2460
Mailing Address - Country:US
Mailing Address - Phone:240-938-8235
Mailing Address - Fax:
Practice Address - Street 1:2915 SAINT HELEN CIR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-2460
Practice Address - Country:US
Practice Address - Phone:240-938-8235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-15
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8387101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional