Provider Demographics
NPI:1861749061
Name:SUTTON, AARON MILLARD (LCSW)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:MILLARD
Last Name:SUTTON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2500 MARYLAND RD
Mailing Address - Street 2:SUITE #400
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1216
Mailing Address - Country:US
Mailing Address - Phone:215-481-5450
Mailing Address - Fax:215-481-5435
Practice Address - Street 1:2500 MARYLAND RD
Practice Address - Street 2:SUITE #309
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1216
Practice Address - Country:US
Practice Address - Phone:215-481-5450
Practice Address - Fax:215-481-5435
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PACW0182471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA376135GTSMedicare PIN