National Provider Identifier
Suzanne C Ivancic, LCSW
Suzanne C Ivancic, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Honeoye Falls, NY and a listed phone number of (585) 624-1540.
Profile Overview
- NPI
- 1528192879
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 16, 2007
- Last Updated
- July 09, 2007
Practice Location
- 53 West Main Street
- Honeoye Falls, NY 14428
Phone: (585) 624-1540
Mailing Address
- 381 Scottsville-Chili Road
- Churchville, NY 14428
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1528192879
- Entity Type
- Individual
- Last Name
- Ivancic
- First Name
- Suzanne
- Middle Name
- C
- Name Prefix
- MS.
- Credential
- LCSW
- Provider Other Last Name
- Ivancic
- Provider Other First Name
- Sue
- Provider Other Middle Name
- C
- Provider Other Credential Text
- LCSW
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 381 Scottsville-Chili Road
- Mailing City
- Churchville
- Mailing State
- NY
- Mailing ZIP Code
- 14428
- Mailing Country
- US
- Mailing Phone
- (585) 455-5230
- Mailing Fax
- (585) 624-7521
- Practice Street Address
- 53 West Main Street
- Practice City
- Honeoye Falls
- Practice State
- NY
- Practice ZIP Code
- 14428
- Practice Country
- US
- Practice Phone
- (585) 624-1540
- Practice Fax
- (585) 624-7521
- Enumeration Date
- March 16, 2007
- Last Updated
- July 09, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)