Provider Demographics
NPI:1053364836
Name:STRAIN, SUSAN ELEANOR (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:ELEANOR
Last Name:STRAIN
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:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5616
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:50 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 5A
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5247
Practice Address - Country:US
Practice Address - Phone:828-684-1115
Practice Address - Fax:818-687-6064
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0032041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002589Medicaid
NCP00916641OtherRR MEDICARE
NC1332GOtherBCBS
NC6002589Medicaid