Laurie Patlin Suttenberg, LCSW, DCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC 04307900 Issued in NJ

Practice address

1999 Marlton Pike E
Suite 4
Cherry Hill, NJ 08003-1825

Phone

(856) 435-4793

Fax

(856) 435-7901

NPI assigned

Jul 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699797589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ASHBROOKE DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432817",
            "telephone_number": "856-435-4793",
            "fax_number": "856-435-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARLTON PIKE E",
            "address_2": "SUITE 4",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031825",
            "telephone_number": "856-435-4793",
            "fax_number": "856-435-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTENBERG",
        "first_name": "LAURIE",
        "middle_name": "PATLIN",
        "name_prefix": "Ms.",
        "credential": "LCSW, DCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC 04307900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Surrey, D.O.
• Susan I Kaufman DO PC (Center for Specialized Gynecology)
• Susan M Hughes MD PC (The Hughes Center for Aesthetic Medicine)
• Janet Mary Sussen, P.T.
• Hunter A Sutch, MPT
• Marc John Suznovich
• David Svechin
• Katherine L Swan, MS, OTR/L
• Carol J Swanson, PT
• Stephanie D Swanson, MPT

• Clinical Social Worker in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Clinical Social Worker in New Jersey

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.