Active NPI
Suzanne Louise Dubois, LCSW-C
- Clinical Social Worker
- Bel Air, MD
National Provider Identifier
1619419645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22327
- Practice address
- 336 S Main St Ste 1C
Bel Air, MD 21014-3978 - Phone
- (410) 836-0820
- NPI assigned
- Nov 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 22327 | MD | Primary |
Addresses
Primary practice location
336 S Main St Ste 1C
Bel Air, MD 21014-3978
Mailing address
522 Risen Star CT
Havre de Grace, MD 21078-2699
Phone (443) 903-0436
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1619419645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 RISEN STAR CT",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210782699",
"telephone_number": "443-903-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 S MAIN ST STE 1C",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143978",
"telephone_number": "410-836-0820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "SUZANNE",
"middle_name": "LOUISE",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-08",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "22327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.