Individual provider Active NPI

Valeria Susanina

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1013283266
Registry record updated Mar 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
057103-1 Issued in NY
Practice address
40 W 13TH St
New York, NY 10011-7940
Phone
(917) 587-7131
NPI assigned
Mar 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 057103-1 NY Primary

Addresses

Primary practice location

40 W 13TH St
New York, NY 10011-7940

Mailing address

515 W 111TH St Apt 5E
New York, NY 10025-1921
Phone (917) 587-7131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
057103-1NYMDClinical Social Worker
057103NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Medical P.C. PastSince Aug 1, 1999 Accepting new patients
Brooklyn Care Medical PC PastSince Oct 1, 2002 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333152000000",
    "number": "1013283266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W 111TH ST APT 5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251921",
            "telephone_number": "917-587-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 13TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117940",
            "telephone_number": "917-587-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSANINA",
        "first_name": "VALERIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-31",
        "last_updated": "2012-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "057103-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.