Individual provider Active NPI

Beck Susan Liatt, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1124593215
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097386 Issued in NY
Practice address
869 Park Ave Apt 4C
Brooklyn, NY 11206-7336
Phone
(203) 913-0420
NPI assigned
Oct 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 110542 NY
Clinical Social Worker 1041C0700X 097386 NY Primary

Addresses

Primary practice location

869 Park Ave Apt 4C
Brooklyn, NY 11206-7336

Mailing address

47 Debevoise St
Brooklyn, NY 11206-4193
Phone (203) 913-0420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • 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
I20250303001438 NY Practitioner - Clinical Social Worker 1355862723 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097386NYMDSocial Worker
110542NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Therapeutic Support LCSW PC Clinical CurrentSince Dec 15, 2024 Accepting new patients
Well Behavioral Health LLC CurrentSince Apr 15, 2026 Accepting new patients

Locations

57 W 57th St
Ste 1004
New York, NY 10019
Phone (212) 765-5030

459 Columbus Ave
New York, NY 10024
Phone (212) 884-6282

Organizations & group practices 2

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1124593215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 DEBEVOISE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064193",
            "telephone_number": "203-913-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 PARK AVE APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112067336",
            "telephone_number": "203-913-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIATT",
        "first_name": "BECK",
        "middle_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "110542",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.