Susan Sutton Frager LCSW

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

CW017234 Issued in PA

Legal business name

SUSAN SUTTON FRAGER LCSW

Doing business as

Susan Frager LCSW

Practice address

1 Bala Ave
Bala Cynwyd, PA 19004-3212

Phone

(610) 247-7246

NPI assigned

May 2, 2018

Last updated

May 2, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Sutton Frager, LCSW

Title

LCSW

Phone

(610) 247-7246

Specialties & licenses 1

Addresses

Other names 1

• Susan Frager LCSW Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1376032789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BALA AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043212",
            "telephone_number": "610-247-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALA AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043212",
            "telephone_number": "610-247-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN SUTTON FRAGER LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "FRAGER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "SUTTON",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "610-247-7246",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "CW017234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Frager LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Adult Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.