Active NPI
Susanna R. Paulay, LCSW
- School Social Worker
- Coram, NY
National Provider Identifier
1033487103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- R044358-1
- Practice address
- 125 Pond Rd
Coram, NY 11727-3746 - Phone
- (516) 628-6153
- Fax
- (516) 922-2098
- NPI assigned
- Dec 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | R044358-1 | NY | Primary |
Addresses
Primary practice location
125 Pond Rd
Coram, NY 11727-3746
Mailing address
125 Pond Rd
Coram, NY 11727-3746
Phone (516) 628-6153
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
| License | State | Type | Specialty |
|---|---|---|---|
| R044358-1 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1033487103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 POND RD",
"city": "CORAM",
"state": "NY",
"postal_code": "117273746",
"telephone_number": "516-628-6153",
"fax_number": "516-922-2098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 POND RD",
"city": "CORAM",
"state": "NY",
"postal_code": "117273746",
"telephone_number": "516-628-6153",
"fax_number": "516-922-2098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULAY",
"first_name": "SUSANNA",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "R044358-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coram, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.