Provider Demographics
NPI:1154520443
Name:JAMES, SUZANNE J (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:J
Last Name:JAMES
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 STANFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4665
Mailing Address - Country:US
Mailing Address - Phone:225-769-6913
Mailing Address - Fax:
Practice Address - Street 1:208 STANFORD AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4665
Practice Address - Country:US
Practice Address - Phone:225-769-6913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA33251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical