Provider Demographics
NPI:1831230721
Name:DOYLE, SUSAN WETHERBEE II (LICSW)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:WETHERBEE
Last Name:DOYLE
Suffix:II
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:962 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-1908
Mailing Address - Country:US
Mailing Address - Phone:978-537-2827
Mailing Address - Fax:
Practice Address - Street 1:270 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-8114
Practice Address - Country:US
Practice Address - Phone:978-665-2976
Practice Address - Fax:978-665-2980
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1024901-SW-LICSW1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool