Individual provider · Type 1 NPI

Susan Diane Warren, MSW, LCSW

Mental Health Counselor · Shallotte, NC

NPI number 1689291858 Active

Practice location

117 Holden Beach Rd SW Ste 109
Shallotte, NC 28470-1787

Fax (910) 782-0428

Mailing address

463 Tanner Dr SW
Shallotte, NC 28470-5293

Other practice locations

  • 463 Tanner Dr SW, Shallotte, NC 28470-5293 · (910) 574-8683

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XP013719 (NC)
Mental Health Counselor 101YM0800XP013719 (NC)
Mental Health Counselor Primary 101YM0800XC014161 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1689291858

Susan Diane Warren, MSW, LCSW's National Provider Identifier is 1689291858, issued on Jul 2, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shallotte, NC. The record was last updated on Jul 24, 2025.