Active NPI
Paula Susan, MSW, LCSW
- Specialist
- Mount Laurel, NJ
National Provider Identifier
1306874698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- SC00066
- Practice address
- 9 Fulton Dr
Mount Laurel, NJ 08054-4510 - Phone
- (856) 396-0900
- Fax
- (856) 396-0901
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | SC00066 | NJ | Primary |
Addresses
Primary practice location
9 Fulton Dr
Mount Laurel, NJ 08054-4510
Mailing address
9 Fulton Dr
Mount Laurel, NJ 08054-4510
Phone (856) 396-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC00066 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306874698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 FULTON DR",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080544510",
"telephone_number": "856-396-0900",
"fax_number": "856-396-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 FULTON DR",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080544510",
"telephone_number": "856-396-0900",
"fax_number": "856-396-0901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSAN",
"first_name": "PAULA",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "SC00066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Laurel, NJ
- Ho Sun, PHARMACIST
- Sunrise/Hov, LP
- Supportive Career Counseling and Employment Services Inc
- Surgical Center of South Jersey Limited Partnership
- Surgical Center of South Jersey Limited Partnership
- Susanna Carew, Psy.D.
- Kelly Judith Suter, MSW
- Paul J Svigals, MD
- Chase L Swank
- Jordin Mara Swanson, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.