Individual
MRS. SUSAN H. SHUSTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.C.S.W., C.S.A.C.
Contact information
Practice address
2200 OPITZ BLVD, SUITE # 214A, WOODBRIDGE, VA 22191-3321
(703) 494-6880
(703) 492-0505
Mailing address
2200 OPITZ BLVD, SUITE # 214A, WOODBRIDGE, VA 22191-3321
(703) 494-6880
(703) 492-0505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710000533
VA
1041C0700X
Clinical Social Worker
0904002097
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210658
BC/BS FEP
VA
01
—
346665
MDIPA GROUP
VA
05
—
89-0255-1
—
VA
Enumeration date
09/08/2005
Last updated
09/11/2025
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