Provider Demographics
NPI:1952779886
Name:WESSON SUAREZ, JUDITH JOHANNA (LICSW, LCSW)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:JOHANNA
Last Name:WESSON SUAREZ
Suffix:
Gender:F
Credentials:LICSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7841 1ST AVE N # 318
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35206-4354
Mailing Address - Country:US
Mailing Address - Phone:205-210-8283
Mailing Address - Fax:
Practice Address - Street 1:7841 1ST AVE N # 318
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35206-4354
Practice Address - Country:US
Practice Address - Phone:205-210-8283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical