Provider Demographics
NPI:1982623013
Name:COMPTON, SUSAN LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:LYNN
Last Name:COMPTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SUE
Other - Middle Name:
Other - Last Name:COMPTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:13901 US HIGHWAY 1
Mailing Address - Street 2:SUITE 11
Mailing Address - City:JUNO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-1612
Mailing Address - Country:US
Mailing Address - Phone:561-624-4748
Mailing Address - Fax:561-624-4772
Practice Address - Street 1:13901 US HIGHWAY 1
Practice Address - Street 2:SUITE 11
Practice Address - City:JUNO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-1612
Practice Address - Country:US
Practice Address - Phone:561-624-4748
Practice Address - Fax:561-624-4772
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW3327104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
38219OtherCIGNA
6218017OtherUNITED BEHAVIORAL HEALTH
S18086Medicare UPIN
Z5628Medicare ID - Type Unspecified