MEDICARE: SUSAN SADOWICK 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1396024410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN SADOWICK LCSW

Provider Business Mailing Address
First Line	:	1517 27TH AVE N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33704-2641
Country	:	US
Telephone Number	:	727-310-5616
Fax Number	:

Provider Business Practice Location Address
First Line	:	1517 27TH AVE N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33704-2641
Country	:	US
Telephone Number	:	727-310-5616
Fax Number	:

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

Provider Enumeration Date	:	08/07/2011
Last Update Date	:	04/06/2026

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Directions to “ SUSAN SADOWICK LCSW” Practice Location

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