Individual provider Active NPI

Susan Charnas, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1053899047
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
094575 Issued in NY
Practice address
172 Empire Blvd Ste 7
Brooklyn, NY 11225-3586
Phone
(718) 613-9345
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW20695 FL
Clinical Social Worker 1041C0700X 094575 NY Primary

Addresses

Primary practice location

172 Empire Blvd Ste 7
Brooklyn, NY 11225-3586

Mailing address

1277 E 14TH St Apt 512a
Brooklyn, NY 11230-5268
Phone (718) 613-9345

Other practice location 1

1277 E 14th St Apt 512A
Brooklyn, NY 11230-5268
Phone (718) 613-9345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20230823001189 NY Practitioner - Clinical Social Worker 9133582299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW20695FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Jacobs-Pinson, Psychologist PC CurrentSince Jul 1, 2023 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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1053899047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 E 14TH ST APT 512A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305268",
            "telephone_number": "718-613-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 EMPIRE BLVD STE 7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253586",
            "telephone_number": "718-613-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1277 E 14th St Apt 512A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112305268",
            "country_code": "US",
            "telephone_number": "718-613-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARNAS",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20695",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.