Provider Demographics
NPI:1396736344
Name:KRAUSE, SUZANNE M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:M
Last Name:KRAUSE
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 1:34 LINFORD RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4929
Mailing Address - Country:US
Mailing Address - Phone:516-466-5461
Mailing Address - Fax:516-466-4874
Practice Address - Street 1:5 BOND ST
Practice Address - Street 2:SUITE # 6
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2420
Practice Address - Country:US
Practice Address - Phone:516-829-4765
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR014388-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical