National Provider Identifier
Suzanne Marie Perreault, LCSW
Suzanne Marie Perreault, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 351-1795.
Profile Overview
- NPI
- 1730278342
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 12, 2006
- Last Updated
- December 03, 2008
Practice Location
- 138 Campbell Ave
- Ithaca, NY 14850-2059
Phone: (607) 351-1795
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1730278342
- Entity Type
- Individual
- Last Name
- Perreault
- First Name
- Suzanne
- Middle Name
- Marie
- Name Prefix
- MS.
- Credential
- LCSW
- Provider Other Last Name
- Cidell
- Provider Other First Name
- Suzanne
- Provider Other Middle Name
- Marie
- Provider Other Credential Text
- CSW
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 138 Campbell Ave
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-2059
- Mailing Country
- US
- Mailing Phone
- (607) 351-1795
- Practice Street Address
- 138 Campbell Ave
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-2059
- Practice Country
- US
- Practice Phone
- (607) 351-1795
- Enumeration Date
- October 12, 2006
- Last Updated
- December 03, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 02876548 (NY)