Provider Demographics
NPI:1437209368
Name:LAPLACA LEVINE, SUSAN BETH (LCSW & CASAC)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:BETH
Last Name:LAPLACA LEVINE
Suffix:
Gender:F
Credentials:LCSW & CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SPARROW LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-4022
Mailing Address - Country:US
Mailing Address - Phone:516-319-6913
Mailing Address - Fax:
Practice Address - Street 1:26 SETH LN
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-6515
Practice Address - Country:US
Practice Address - Phone:516-319-6913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072776-11041C0700X
NY10937101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)