Provider Demographics
NPI:1962137307
Name:STERN-BRANT, SUZANNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:
Last Name:STERN-BRANT
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 1:202 TULANE DR. SE
Mailing Address - Street 2:SUITE C
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106
Mailing Address - Country:US
Mailing Address - Phone:505-615-1586
Mailing Address - Fax:505-232-5335
Practice Address - Street 1:202 TULANE DR. SE
Practice Address - Street 2:SUITE C
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106
Practice Address - Country:US
Practice Address - Phone:505-615-1586
Practice Address - Fax:505-232-5335
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-120851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical