Individual provider Active NPI

Susan Sarlin, LCSW

  • Social Worker
  • New York, NY
National Provider Identifier
1154338259
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
007639PR Issued in NY
Practice address
20 W 74TH St
RM #2
New York, NY 10023-2401
Phone
(212) 873-0725
Fax
(212) 362-6967
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 007639PR NY Primary

Addresses

Primary practice location

20 W 74TH St
RM #2
New York, NY 10023-2401

Mailing address

20 W 74TH St
RM #2
New York, NY 10023-2401
Phone (212) 873-0725

Other identifiers 1

IdentifierTypeStateIssuer
0033468OtherSHI

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007639NYMDProfessional Counselor
007639PRNYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
William Alanson White Institute of Psychiatry, Psychoanalysis & Psych Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154338259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 74TH ST",
            "address_2": "RM #2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232401",
            "telephone_number": "212-873-0725",
            "fax_number": "212-362-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 74TH ST",
            "address_2": "RM #2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232401",
            "telephone_number": "212-873-0725",
            "fax_number": "212-362-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARLIN",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "007639PR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHI",
            "identifier": "0033468",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.