Provider Demographics
NPI:1366195927
Name:SUSAN M ROHR LSCSW LLC
Entity type:Organization
Organization Name:SUSAN M ROHR LSCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER, OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CORBUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-755-8388
Mailing Address - Street 1:500 N MAIN ST STE 156
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-2211
Mailing Address - Country:US
Mailing Address - Phone:316-288-0000
Mailing Address - Fax:
Practice Address - Street 1:500 N MAIN ST STE 156
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-2211
Practice Address - Country:US
Practice Address - Phone:316-288-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty