Suzanne Marie Marriott, LMSW
Individual provider Active NPI Social Worker · Henrietta, NY
NPI 1679080907 · NPPES record last updated Jan 9, 2018
Key facts
- NPI
- 1679080907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 062459 (NY)
- Practice address
- 2000 Lehigh Station Rd
Henrietta, NY 14467-9620 - Phone
- (585) 383-6481
- NPI assigned
- Jan 9, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 062459 | NY | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 062459 | NY | |
| Social Worker | 104100000X | 062459 | NY | Yes |
Addresses
Primary practice location
2000 Lehigh Station Rd
Henrietta, NY 14467-9620
Mailing address
2000 Lehigh Station Rd
Henrietta, NY 14467-9620
Other providers in Henrietta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2018. 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.