Individual provider · Type 1 NPI

Jennifer Sussal, LGSW

Clinical Social Worker · Columbia, MD

NPI number 1871091124 Active

Practice location

10705 Charter Dr Ste 410
Columbia, MD 21044-2800

Mailing address

2705 Silver Hammer Way
Brookeville, MD 20833-3244

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X23272 (MD)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1871091124

Jennifer Sussal, LGSW's National Provider Identifier is 1871091124, issued on Jan 31, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbia, MD. The record was last updated on Jan 31, 2018.