MEDICARE: SUZANNE IRIS SZTUL 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	104100000X	Social Worker	CW019461	PA

General Provider Information

NPI Number	:	1205171386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE IRIS SZTUL LCSW

Provider Business Mailing Address
First Line	:	732 KATER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-2011
Country	:	US
Telephone Number	:	410-227-3586
Fax Number	:

Provider Business Practice Location Address
First Line	:	732 KATER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-2011
Country	:	US
Telephone Number	:	410-227-3586
Fax Number	:

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

Provider Enumeration Date	:	11/30/2012
Last Update Date	:	01/20/2026

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