Provider Demographics
NPI:1962561423
Name:ZEIEN, SUZANNE (MSW, LCSWR, ACSW)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:
Last Name:ZEIEN
Suffix:
Gender:F
Credentials:MSW, LCSWR, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-0027
Mailing Address - Country:US
Mailing Address - Phone:607-434-3032
Mailing Address - Fax:
Practice Address - Street 1:254 MAIN ST
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2510
Practice Address - Country:US
Practice Address - Phone:607-434-3032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0406921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY328185OtherMVP PIN
NY7404880OtherGHI VALUE OPTIONS PIN
NY113591OtherVALUE OPTIONS BMP PIN
NY328185OtherMVP PIN