Provider Demographics
NPI:1194050450
Name:CUITE, SUZANNE SPENCE (LCSW-R, EDM, SIFI)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:SPENCE
Last Name:CUITE
Suffix:
Gender:F
Credentials:LCSW-R, EDM, SIFI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 SCHERGER AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-5065
Mailing Address - Country:US
Mailing Address - Phone:631-838-5109
Mailing Address - Fax:
Practice Address - Street 1:908 SCHERGER AVE
Practice Address - Street 2:
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-5065
Practice Address - Country:US
Practice Address - Phone:631-838-5109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR069557-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical