Healthcare Provider Details

I. General information

NPI: 1578378980
Provider Name (Legal Business Name): JOENE SUSSEX LCSW PL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2025
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37423 LAUREL HAMMOCK DR
ZEPHYRHILLS FL
33541-4253
US

IV. Provider business mailing address

4142 MARINER BLVD STE 121
SPRING HILL FL
34609-2468
US

V. Phone/Fax

Practice location:
  • Phone: 863-701-7373
  • Fax: 813-200-1403
Mailing address:
  • Phone: 813-927-5149
  • Fax: 813-200-1403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JOENE SUSSEX
Title or Position: OWNER
Credential: LSCW
Phone: 863-701-7373