Susan Denise Bancroft, LPCC-S, LICDC, LSW
Counselor, Professional in Youngstown, OH. Individual provider (NPI-1).
NPI number1720208622
StatusActive
Last updated in NPPESDec 13, 2024
Details
- NPI
- 1720208622
- Entity type
- Individual (NPI-1)
- Name
- Susan Denise Bancroft
- Credential
- LPCC-S, LICDC, LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2007
- Certification date
- Dec 13, 2024
- Last updated
- Dec 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | E.0002756-SUPV | OH | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 981149 | OH | |
| 104100000X | Social Worker | S 0014236 | OH |
Practice location
4970 Belmont AveYoungstown, OH 44505-1018
Phone 330-759-8237
Mailing address
150 E Market StWarren, OH 44481-1141
Phone 330-399-6451
Other practice locations
527 N Meridian Rd
Youngstown, OH 44509-1227
Youngstown, OH 44509-1227
Phone 330-797-0096 · Fax 330-797-9148
150 E Market St
Warren, OH 44481-1141
Warren, OH 44481-1141
Phone 330-399-6451
318 Mahoning Ave Nw
Warren, OH 44483-4605
Warren, OH 44483-4605
Phone 330-395-9563
143 Gougler Ave
Kent, OH 44240-2401
Kent, OH 44240-2401
Phone 330-677-4124
5500 Market St Ste 110
Youngstown, OH 44512-2616
Youngstown, OH 44512-2616
Phone 330-677-4124
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