Provider Demographics
NPI:1194175661
Name:LUNTZ, SUZANNE G (LCSW)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:G
Last Name:LUNTZ
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 1:4 HUGHES ST
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-2409
Mailing Address - Country:US
Mailing Address - Phone:646-425-3054
Mailing Address - Fax:
Practice Address - Street 1:1392 ALBANY POST RD STE 2A
Practice Address - Street 2:
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-1560
Practice Address - Country:US
Practice Address - Phone:646-425-3054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-15
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0846301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical