Susan M Exworthy, LCSW CSAC
Social Worker, Clinical in Sturgeon Bay, WI. Individual provider (NPI-1).
NPI number1306231683
StatusActive
Last updated in NPPESNov 9, 2021
Details
- NPI
- 1306231683
- Entity type
- Individual (NPI-1)
- Name
- Susan M Exworthy
- Credential
- LCSW CSAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2015
- Certification date
- Nov 9, 2021
- Last updated
- Nov 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 8922-123 | WI | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 15999-132 | WI |
Practice location
323 S 18th AveSturgeon Bay, WI 54235-1401
Phone 920-746-0510
Mailing address
323 S 18th AveSturgeon Bay, WI 54235-1401
Phone 920-746-0510
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All 14 Clinical Social Worker providers in Sturgeon Bay · All 448 providers in Sturgeon Bay
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