Provider Demographics
NPI:1366738452
Name:HOLZBERGER, SUSAN (MSW, LISW-S)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:HOLZBERGER
Suffix:
Gender:F
Credentials:MSW, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1146 NOYES AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45015-2034
Mailing Address - Country:US
Mailing Address - Phone:513-675-9267
Mailing Address - Fax:
Practice Address - Street 1:1146 NOYES AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45015-2034
Practice Address - Country:US
Practice Address - Phone:513-675-9267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI. 0500064 SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical