Individual
SUSANNA CASTLEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
90 HOPE DR, MOUNTAIN HOME AFB, ID 83648-1057
(208) 828-7580
Mailing address
90 HOPE DR, MOUNTAIN HOME AFB, ID 83648-1057
(208) 828-7580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ISW8008
FL
1041C0700X
Clinical Social Worker
LMSW13810
AZ
1041C0700X
Clinical Social Worker
Primary
SW 12633
FL
Other
Enumeration date
12/05/2014
Last updated
10/07/2025
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