National Provider Identifier
Suzette Elizabeth Carnahan, LCSW
Suzette Elizabeth Carnahan, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Randolph, NY and a listed phone number of (716) 640-5316.
Profile Overview
- NPI
- 1932250602
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 16, 2007
- Last Updated
- June 23, 2016
Practice Location
- 12809 W Main Street RD
- Randolph, NY 14772-9613
Phone: (716) 640-5316
Mailing Address
- 405 Pine St
- Ste 15
- Jamestown, NY 14701-5313
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1932250602
- Entity Type
- Individual
- Last Name
- Carnahan
- First Name
- Suzette
- Middle Name
- Elizabeth
- Name Prefix
- Mrs.
- Credential
- LCSW
- Mailing Street Address
- 405 Pine St
- Mailing Address Line 2
- Ste 15
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-5313
- Mailing Country
- US
- Mailing Phone
- (716) 640-5316
- Practice Street Address
- 12809 W Main Street RD
- Practice City
- Randolph
- Practice State
- NY
- Practice ZIP Code
- 14772-9613
- Practice Country
- US
- Practice Phone
- (716) 640-5316
- Enumeration Date
- January 16, 2007
- Last Updated
- June 23, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)