MEDICARE: DR. SUZANNE M. BALDWIN PH.D, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	904003880	VA
2	1041C0700X	Clinical Social Worker	0904003880	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285644609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUZANNE M. BALDWIN PH.D, LCSW

Provider Business Mailing Address
First Line	:	1492 S INDEPENDENCE BLVD
Second Line	:	STE 104
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-5252
Country	:	US
Telephone Number	:	757-466-3336
Fax Number	:	757-455-5750

Provider Business Practice Location Address
First Line	:	1492 S INDEPENDENCE BLVD
Second Line	:	STE 104
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-5252
Country	:	US
Telephone Number	:	757-466-3336
Fax Number	:	757-455-5750

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	06/21/2021

Similar Medicare Providers

1801127519 — DR. JAYNE DABU DAOM,L.AC., DIPL.AC.
Practice Location Address:

1492 S INDEPENDENCE BLVD STE 102
VIRGINIA BEACH, VA
23462-5252

Practice Phone: 757-431-0053
Practice Fax: 757-431-0053

1023428133 — ILLUMINATION, LLC
Practice Location Address:

1492 S INDEPENDENCE BLVD. , STE 102
VIRGINIA BEACH, VA
23462-5252

Practice Phone: 757-431-0053
Practice Fax: 757-431-0053

1891104949 — BALDWIN COUNSELING PLLC
Practice Location Address:

1492 S INDEPENDENCE BLVD STE 104
VIRGINIA BEACH, VA
23462-5252

Practice Phone: 757-340-0275
Practice Fax: 757-340-0276

1851931414 — KALAMAR PHYSICAL THERAPY LLC
Practice Location Address:

5252 LEARNING CIR
VIRGINIA BEACH, VA
23462-1399

Practice Phone: 484-241-1519
Practice Fax:

1265115661 — DR. ROGER BAYER DACM
Practice Location Address:

1492 S INDEPENDENCE BLVD STE 102
VIRGINIA BEACH, VA
23462-5252

Practice Phone: 757-431-0053
Practice Fax:

1598635898 — MR. JEFFREY BRENT TANNER
Practice Location Address:

1492 S INDEPENDENCE BLVD STE 100
VIRGINIA BEACH, VA
23462-5252

Practice Phone: 757-632-0974
Practice Fax:

Directions to “ DR. SUZANNE M. BALDWIN PH.D, LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.