# SUSAN P HANEWALD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669126652
- **Authorized official:** SUSAN P. HANEWALD LICSW (PROVIDER)
- **Authorized official phone:** (802) 356-6565

## Contact information

- **Practice address:** 1341 TUCKER MOUNTAIN RD, NEWBURY, VT 05051-9668
- **Practice address phone:** (802) 356-6565
- **Mailing address:** PO BOX 81, WEST NEWBURY, VT 05085-0081
- **Mailing address phone:** (802) 356-6565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2022
- **Last updated:** 02/17/2022