Healthcare Provider Details

I. General information

NPI: 1528074481
Provider Name (Legal Business Name): SUSAN MARIE WOODS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 01/28/2021
Certification Date: 01/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 SPRING DR
CRANBERRY TOWNSHIP PA
16066-4079
US

IV. Provider business mailing address

11 SPRING DR
CRANBERRY TOWNSHIP PA
16066-4079
US

V. Phone/Fax

Practice location:
  • Phone: 412-956-5748
  • Fax:
Mailing address:
  • Phone: 412-956-5748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW015382
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: