Most Relevant Information
Provider Data
| NPI Number: | 1003196809 |
| Provider Name: | SUSAN MALEWICZ LCSW CASAC CSAT SAP |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 076909 |
Most Important Dates
| Enumeration Date: | 08/24/2011 |
| Last Updated: | 08/24/2011 |
Provider Practice Location
600 JOHNSON AVE
SUITE B7
BOHEMIA
NY
117162614
Practice Location Phone/Fax
| Phone: | 6317505616 |
| Fax: | 6317505616 |
Provider Mailing Location
600 JOHNSON AVE
SUITE B7
BOHEMIA
NY
117162614
Provider Mailing Phone/Fax
| Phone: | 6317505616 |
| Fax: | 6317505616 |