Healthcare Provider Details

I. General information

NPI: 1033185202
Provider Name (Legal Business Name): SUSAN CAROL APPEL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2999 PRINCETON PIKE STE #6
LAWRENCEVILLE NJ
08648-3261
US

IV. Provider business mailing address

2999 PRINCETON PIKE STE #6
LAWRENCEVILLE NJ
08648-3261
US

V. Phone/Fax

Practice location:
  • Phone: 609-882-7175
  • Fax: 609-882-8051
Mailing address:
  • Phone: 609-882-7175
  • Fax: 609-882-8051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCW008385L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SC00130100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: