Susan Malewicz, LCSW CASAC CSAT SAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076909 Issued in OK

Practice address

600 Johnson Ave
Suite B7
Bohemia, NY 11716-2614

Phone

(631) 750-5616

Fax

(631) 750-5616

NPI assigned

Aug 24, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Susan Malewicz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1003196809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JOHNSON AVE",
            "address_2": "SUITE B7",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162614",
            "telephone_number": "631-750-5616",
            "fax_number": "631-750-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JOHNSON AVE",
            "address_2": "SUITE B7",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162614",
            "telephone_number": "631-750-5616",
            "fax_number": "631-750-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEWICZ",
        "first_name": "SUSAN",
        "credential": "LCSW CASAC CSAT SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "076909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MALEWICZ",
            "credential": "LCSW CASAC CSAT SAP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• M.H. Optical Inc.
• Deborah Ann Macdowell, R.N.
• Jacqueline Maddox
• Margaret Dorothy Maier, RN,BC
• Ashokkumar Makadia, DDS
• Christine Mammes
• Hailey Marie Mancini, MHC
• Yvonne Mancuso, MOT, OTR/L
• Renee Barbara Marchewka, ATC
• Paul Markowitz, D.M.D.

• Clinical Social Worker in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.