Provider Demographics
NPI:1215097753
Name:RONIGER, SUZANNE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:
Last Name:RONIGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:SUZANNE
Other - Middle Name:H
Other - Last Name:LIEBMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 STONEYSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-1441
Mailing Address - Country:US
Mailing Address - Phone:914-834-0596
Mailing Address - Fax:914-834-8654
Practice Address - Street 1:50 STONEYSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-1441
Practice Address - Country:US
Practice Address - Phone:914-834-0596
Practice Address - Fax:914-834-8654
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR047049 11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical