MEDICARE: SUSAN J STRICKLAND LLC

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	SW8561	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7186922	OTHER	FL	AETNA
2	Z139H	OTHER	FL	BLUECROSS BLUESHIELD
3	4GYWN	OTHER	FL	LUCET

General Provider Information

NPI Number	:	1972712164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSAN J STRICKLAND LLC

Provider Business Mailing Address
First Line	:	PO BOX 15753
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-5753
Country	:	US
Telephone Number	:	850-212-0702
Fax Number	:

Provider Business Practice Location Address
First Line	:	406 GRAIL DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-3337
Country	:	US
Telephone Number	:	850-212-0702
Fax Number	:

Authorized Official
Title or Position	:	MANAGER MEMBER
Name	:	DR. SUSAN J. STRICKLAND
Credential	:	PH.D., LCSW, MT-BC
Telephone Number	:	850-212-0702

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	12/27/2025

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