Martin Sussman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

056059 Issued in NY

Practice address

6252 60TH Rd
Maspeth, NY 11378-3526

Phone

(347) 880-1140

NPI assigned

Mar 12, 2014

Last updated

Nov 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636243200000",
    "number": "1093131179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6252 60TH RD",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783526",
            "telephone_number": "347-880-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6252 60TH RD",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783526",
            "telephone_number": "347-880-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "MARTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-12",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "056059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ewa Stypulkowska
• Fernando Leon Suarez, PHYSICAL THERAPY
• Sunbelt Home Care, Inc.
• Super Vision Eye Care of Maspeth Inc
• Support Medical Supply Inc
• Teresa Mary Sweeney, MSED
• Halina Szlaszynska, MD
• Elzbieta Ewa Szura
• Ingrid Magdelis Tapiero
• Damon V Tarantola

• Clinical Social Worker in Maspeth, NY
• Providers in Maspeth, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.