Provider Demographics
NPI:1336218866
Name:SPIRA, SUSAN FALK (LCSW)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:FALK
Last Name:SPIRA
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 1:179 JEFFERSON RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3307
Mailing Address - Country:US
Mailing Address - Phone:609-436-0003
Mailing Address - Fax:
Practice Address - Street 1:179 JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3307
Practice Address - Country:US
Practice Address - Phone:609-436-0003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical