Provider Demographics
NPI:1285993923
Name:BADAWI, SUZANNE M (LCSW)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:M
Last Name:BADAWI
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 1:70 EISENHOWER DR
Mailing Address - Street 2:HIGH FOCUS CENTERS
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1462
Mailing Address - Country:US
Mailing Address - Phone:845-558-1748
Mailing Address - Fax:
Practice Address - Street 1:151 W PASSAIC ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662-3105
Practice Address - Country:US
Practice Address - Phone:845-558-1748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054625001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical