Susan Guida LCSW PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

069724-1 Issued in NY

Legal business name

SUSAN GUIDA LCSW PC

Practice address

43 Dogwood Rd
Albertson, NY 11507-1003

Phone

(516) 621-2854

Fax

(516) 621-2854

NPI assigned

Dec 27, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Susan Guida, LCSW-RNPI 1366682411

Title

President

Phone

(516) 621-2854

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Jean Guida, LCSW-R

  • Clinical Social Worker
  • Williston Park, NY
  • NPI 1366682411
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1261872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261872000000",
    "number": "1093045932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 DOGWOOD RD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071003",
            "telephone_number": "516-621-2854",
            "fax_number": "516-621-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 DOGWOOD RD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071003",
            "telephone_number": "516-621-2854",
            "fax_number": "516-621-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN GUIDA LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-27",
        "last_updated": "2009-12-27",
        "status": "A",
        "authorized_official_last_name": "GUIDA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-621-2854",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "069724-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Albertson, NY
• Providers in Albertson, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.