Provider Demographics
NPI:1578378980
Name:JOENE SUSSEX LCSW PL
Entity type:Organization
Organization Name:JOENE SUSSEX LCSW PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SUSSEX
Authorized Official - Suffix:
Authorized Official - Credentials:LSCW
Authorized Official - Phone:863-701-7373
Mailing Address - Street 1:4142 MARINER BLVD STE 121
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-2468
Mailing Address - Country:US
Mailing Address - Phone:813-927-5149
Mailing Address - Fax:813-200-1403
Practice Address - Street 1:37423 LAUREL HAMMOCK DR
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-4253
Practice Address - Country:US
Practice Address - Phone:863-701-7373
Practice Address - Fax:813-200-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty