Suzanne Mary Bevis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080202 Issued in NY

Practice address

107 W Main St
East Islip, NY 11730-2337

Phone

(631) 666-1615

Fax

(631) 666-1709

NPI assigned

Dec 27, 2012

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1134465834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 AVENUE A",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411400",
            "telephone_number": "631-767-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302337",
            "telephone_number": "631-666-1615",
            "fax_number": "631-666-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVIS",
        "first_name": "SUZANNE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-27",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Elizabeth Barry
• Bay Family Medicine PLLC
• Laurie G Bedard, M.A., LA
• Gina Marie Beltrami, RPA-C
• Sarah Elizabeth Berkowitz, DPT
• Karen Ann Bianchi, RN
• Brooke L Bickford
• Edward J Bieniewicz, MD
• Lauren Bilello, M.S., SLP
• Carol Grace Bishop, RN

• Clinical Social Worker in East Islip, NY
• Providers in East Islip, 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 Oct 11, 2018; 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.