Susan McConnaughy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R023114-1 Issued in NY

Practice address

150 E 58TH St
25TH Floor
New York, NY 10155-0002

Phone

(212) 995-5901

NPI assigned

Jan 16, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1184775009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MORTON ST",
            "address_2": "5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 58TH ST",
            "address_2": "25TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101550002",
            "telephone_number": "212-995-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNAUGHY",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R023114-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFOR PROVIDER NUMBER",
            "identifier": "P384612",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele T McCollough, PA
• Jermaine McCollum
• John McCollum, RN
• Kelly McCombie, NP-C
• Benjamin McCommon, M.D.
• Brittany McConnell
• Casey McConnell
• Fiona McConnell, PHYSICIAN ASSISTANT
• Kelly M McConnell
• Megan McConnell

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Apr 16, 2008; 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.