Provider Demographics
NPI:1487349114
Name:LAU, SUI (LCSW)
Entity type:Individual
Prefix:
First Name:SUI
Middle Name:
Last Name:LAU
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:SUNNY
Other - Middle Name:
Other - Last Name:LAU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10156 HAWKS LAKE DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9395
Mailing Address - Country:US
Mailing Address - Phone:630-770-0566
Mailing Address - Fax:
Practice Address - Street 1:1185 W CARMEL DR STE D4
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-8708
Practice Address - Country:US
Practice Address - Phone:317-569-5433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34008451A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical