Individual provider Active NPI

Susan Cohn, LCSW

  • Clinical Social Worker
  • Ardsley, NY
National Provider Identifier
1013366020
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
022413 Issued in NY
Practice address
545 Saw Mill River Rd
Suite 3C
Ardsley, NY 10502-2157
Phone
(914) 629-9593
NPI assigned
Jun 9, 2016
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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 022413 NY Primary

Addresses

Primary practice location

545 Saw Mill River Rd
Suite 3C
Ardsley, NY 10502-2157

Mailing address

3 Round Hill Rd
Dobbs Ferry, NY 10522-3304
Phone (914) 629-9593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160830000528 NY Practitioner - Clinical Social Worker 4880989821 Practice locations: Ardsley, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

545 Saw Mill River Rd
Suite 3C
Ardsley, NY 10502-2157

545 Saw Mill River Rd
Suite 3C
Ardsley, NY 10502-2159
Phone (914) 629-9593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1013366020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ROUND HILL RD",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223304",
            "telephone_number": "914-629-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SAW MILL RIVER RD",
            "address_2": "SUITE 3C",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022157",
            "telephone_number": "914-629-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "022413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

Verify at the official NPI Registry.