Organization Active NPI

G.Suero, LCSW- Psychotherapy PLLC

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1023427184
Registry record updated Aug 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079954 Issued in NY
Legal business name
G.SUERO, LCSW- PSYCHOTHERAPY PLLC
Practice address
1272 Richmond Rd
Suite 3
Staten Island, NY 10304-2304
Phone
(347) 441-3706
Fax
(347) 855-2591
NPI assigned
Aug 3, 2014
Last updated
Aug 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2014

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

Authorized official

Name
Mr. Gilberto Suero, LCSW
Title
Owner
Phone
(347) 441-3706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 079954 NY Primary

Addresses

Primary practice location

1272 Richmond Rd
Suite 3
Staten Island, NY 10304-2304

Mailing address

1272 Richmond Rd
Suite 3
Staten Island, NY 10304-2304
Phone (347) 441-3706

National Provider Directory

National Provider Directory

Locations

1272 Richmond Rd
#3
Staten Island, NY 10304
Phone (347) 441-3706

1272 Richmond Rd
Ste 3
Staten Island, NY 10304
Phone (347) 441-3706

NPI Registry JSON

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

{
    "created_epoch": "1407024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407024000000",
    "number": "1023427184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 RICHMOND RD",
            "address_2": "SUITE 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042304",
            "telephone_number": "347-441-3706",
            "fax_number": "347-855-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 RICHMOND RD",
            "address_2": "SUITE 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042304",
            "telephone_number": "347-441-3706",
            "fax_number": "347-855-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.SUERO, LCSW- PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-03",
        "last_updated": "2014-08-03",
        "status": "A",
        "authorized_official_last_name": "SUERO",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-441-3706",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2014; 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.