Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AVA SUSSAN, LCSW
ActiveAVA SUSSAN, LCSW is a Clinical Social Worker healthcare provider located in EVERGREEN PARK, Illinois. NPI 1710268131 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · EVERGREEN PARK, IL
Registration Details
- NPI Number
- 1710268131
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2011 (14.774759609565 yrs)
- Last Updated
- Aug 30, 2011
- License
-
149008560 (IL)
Practice Information
- Address
-
3759 W 95TH STSUITE 3EVERGREEN PARK, IL, 608052000Browse IL providers · Browse ZIP 60805
- Phone
- 8662965262
- Fax
- 7086366852
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in EVERGREEN PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MS. GEORGIANNE M GERBER | LCSW | 1023099652 |
| BRENDA T. THOMPSON | LCSW, ACSW, BCD | 1609970722 |
| MR. BRUCE PAUL ROBINSON | LCSW | 1356416689 |
| MRS. SHARON M. WILLIAMS | L.C.S.W. | 1558416008 |
| MR. BRIAN C. GOLD | LCSW | 1023383494 |
| PATRICIA A HARDMON | LCSW | 1336573807 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.