Debra Lee Suierveld, L.S.W.
Individual provider Active NPI Clinical Social Worker · Apollo, PA
NPI 1104022698 · NPPES record last updated Sep 23, 2016
Key facts
- NPI
- 1104022698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW008460-L (PA)
- Practice address
- 317 Young Dr
Apollo, PA 15613-9677 - Phone
- (724) 727-2177
- NPI assigned
- Jun 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW008460-L | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pritchett Behavioral Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW008460-L | PA | Yes |
Addresses
Primary practice location
317 Young Dr
Apollo, PA 15613-9677
Mailing address
317 Young Dr
Apollo, PA 15613-9677
Phone (724) 727-2177
Other providers in Apollo, PA
- Rite Aid of Pennsylvania LLC
- Robert N Obradovich DMD LLC
- Simply at Home, LLC
- Barbara Smeltzer
- Thomas Charles Sobot
- Murray Daniel Thompson
- Melanie Venturino
- Scott T Weinel
- West Haven Manor, LP
- Wyble'S Pharmacy, Inc.
All providers in Apollo, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.