Provider Demographics
NPI:1114988557
Name:MAROTO, SUSAN L (LCSW)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:L
Last Name:MAROTO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 DAVIDS DR
Mailing Address - Street 2:
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-1447
Mailing Address - Country:US
Mailing Address - Phone:610-724-4398
Mailing Address - Fax:
Practice Address - Street 1:517 S ORANGE ST
Practice Address - Street 2:SUITE 209
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-4038
Practice Address - Country:US
Practice Address - Phone:610-742-4398
Practice Address - Fax:215-442-1641
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0135571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical