Provider Demographics
NPI:1174699599
Name:ROHR, SUSAN M (LSW)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:ROHR
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1100 E NORRIS DRIVE
Mailing Address - Street 2:CHOICES CHO
Mailing Address - City:OTTAWA
Mailing Address - State:IL
Mailing Address - Zip Code:61350-3678
Mailing Address - Country:US
Mailing Address - Phone:815-433-5606
Mailing Address - Fax:815-431-5299
Practice Address - Street 1:1100 E NORRIS DRIVE
Practice Address - Street 2:CHOICES CHO
Practice Address - City:OTTAWA
Practice Address - State:IL
Practice Address - Zip Code:61350-3678
Practice Address - Country:US
Practice Address - Phone:815-431-5694
Practice Address - Fax:815-431-5299
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker