Provider Demographics
NPI:1528951787
Name:CHALLEN, SUZANNA ELIZABETH (PHD(NONCLINICAL)LCSW)
Entity type:Individual
Prefix:DR
First Name:SUZANNA
Middle Name:ELIZABETH
Last Name:CHALLEN
Suffix:
Gender:F
Credentials:PHD(NONCLINICAL)LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 W HILL ST
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61820-3326
Mailing Address - Country:US
Mailing Address - Phone:716-320-0508
Mailing Address - Fax:
Practice Address - Street 1:1207 S OAK ST
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61820-6901
Practice Address - Country:US
Practice Address - Phone:217-300-8035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490265661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical