Provider Demographics
NPI:1760276661
Name:CARREIRO, SUZANNE C (LCSW)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:C
Last Name:CARREIRO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 SHORT LN
Mailing Address - Street 2:
Mailing Address - City:NEWFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14867-9043
Mailing Address - Country:US
Mailing Address - Phone:607-227-7266
Mailing Address - Fax:
Practice Address - Street 1:31 SHORT LN
Practice Address - Street 2:
Practice Address - City:NEWFIELD
Practice Address - State:NY
Practice Address - Zip Code:14867-9043
Practice Address - Country:US
Practice Address - Phone:607-227-7266
Practice Address - Fax:607-227-7266
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0672951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical