Provider Demographics
NPI:1780899583
Name:MAZE, SUZE MARIE (LCSW, CCGC, CEAP)
Entity type:Individual
Prefix:
First Name:SUZE
Middle Name:MARIE
Last Name:MAZE
Suffix:
Gender:F
Credentials:LCSW, CCGC, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2456 EDGEFIELD HWY
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-8018
Mailing Address - Country:US
Mailing Address - Phone:803-646-1487
Mailing Address - Fax:803-646-1487
Practice Address - Street 1:2331 FORTUNE DR
Practice Address - Street 2:SUITE 205
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-4110
Practice Address - Country:US
Practice Address - Phone:859-421-5831
Practice Address - Fax:859-402-8084
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC96151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical