Individual provider Active NPI

Susan Rita Kirshner, CSW

  • Clinical Social Worker
  • Suffern, NY
National Provider Identifier
1033433297
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074327 Issued in NY
Practice address
89 Lackawanna TRL
Suffern, NY 10901-4921
Phone
(845) 369-9710
NPI assigned
Mar 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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 074327 NY Primary

Addresses

Primary practice location

89 Lackawanna TRL
Suffern, NY 10901-4921

Mailing address

89 Lackawanna TRL
Suffern, NY 10901-4921
Phone (845) 369-9710

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
I20150108000235 NY Practitioner - Clinical Social Worker 4385967801 Practice locations: Somers, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

380 Route 202
Somers, NY 10589-3222
Phone (845) 596-4999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074327NYMDClinical Social Worker
044164NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Arnold C Morgan Psychologist PC Past Accepting new patients

Organizations & group practices 1

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": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1033433297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 LACKAWANNA TRL",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014921",
            "telephone_number": "845-369-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 LACKAWANNA TRL",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014921",
            "telephone_number": "845-369-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSHNER",
        "first_name": "SUSAN",
        "middle_name": "RITA",
        "name_prefix": "Mrs.",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.