Susan E Brown, LCSW-R – Clinical Social Worker

Key facts

NPI: 1063717023
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: R078340-1 (NY)
Practice address: 205 N Ballston Ave
Scotia, NY 12302-2509
Phone: (518) 369-6661
NPI assigned: Jan 21, 2011
Sex: Female
Sole proprietor: Yes

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.

Teladoc Health Medical Group, P.a. Family Medicine Physician · Lewisville, TX · NPI 1245403567

NPD CLINICAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
R078340-1	NY	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Teladoc Health Medical Group, P.a.	Clinical	Current	Accepting new patients

Interoperability endpoints

Direct secure messaging: susanbrown@tdh.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	R078340-1	NY	Yes

Addresses

Primary practice location

205 N Ballston Ave
Scotia, NY 12302-2509

Mailing address

205 North Ballston Avenue
Scotia, NY 12302-2509
Phone (518) 369-6661

Other providers in Scotia, NY

All providers in Scotia, NY · Clinical Social Worker in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.