Individual provider Active NPI

Susan Ruskin Vibbert, LMSW

  • Clinical Social Worker
  • Scarsdale, NY
National Provider Identifier
1205767977
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
131568 Issued in NY
Practice address
14 Harwood CT Ste 512
Scarsdale, NY 10583-4120
Phone
(914) 723-6242
NPI assigned
May 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 131568 NY Primary

Addresses

Primary practice location

14 Harwood CT Ste 512
Scarsdale, NY 10583-4120

Mailing address

17 Whig Rd
Scarsdale, NY 10583-3020
Phone (914) 268-7601

Other practice location 1

1 Radisson Plz
New Rochelle, NY 10801-5766
Phone (332) 215-6631

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
131568NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Kramer, LCSW, PLLC Clinical 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1205767977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WHIG RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833020",
            "telephone_number": "914-268-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HARWOOD CT STE 512",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834120",
            "telephone_number": "914-723-6242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Radisson Plz",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108015766",
            "country_code": "US",
            "telephone_number": "332-215-6631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIBBERT",
        "first_name": "SUSAN",
        "middle_name": "RUSKIN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "131568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.