Individual provider Active NPI

Susan M Roy, LCSW

  • Clinical Social Worker
  • The Villages, FL
National Provider Identifier
1225451487
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15047 Issued in FL
Practice address
1400 N US Highway 441 Ste 553
The Villages, FL 32159-8987
Phone
(352) 706-7799
NPI assigned
Jan 23, 2014
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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 076751 NY
Clinical Social Worker 1041C0700X SW15047 FL Primary

Addresses

Primary practice location

1400 N US Highway 441 Ste 553
The Villages, FL 32159-8987

Mailing address

14143 Holly Hammock LN
Brooksville, FL 34613-6863
Phone (631) 848-2235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20191031001703 FL Practitioner - Clinical Social Worker 0446582035 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW15047FLMDClinical Social Worker
076751NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Author Health Professionals, PC CurrentSince Oct 19, 2025 Accepting new patients
Southeast Psych Services LLC Clinical CurrentSince Oct 1, 2022 Accepting new patients
Personal Recovery Network LLC CurrentSince Feb 1, 2022 Accepting new patients
Sco Family of Services Dba Madonna Heights Service Clinic PastSince Nov 20, 2004 Accepting new patients

Locations

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

360 NW 27th St
#8109
Miami, FL 33127
Phone (805) 807-3303

1400 N US Highway 441
Ste 553
The Villages, FL 32159
Phone (352) 205-8514

561 Fieldcrest Dr
The Villages, FL 32162
Phone (352) 309-7465

Organizations & group practices 5

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": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1225451487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14143 HOLLY HAMMOCK LN",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136863",
            "telephone_number": "631-848-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 553",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598987",
            "telephone_number": "352-706-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076751",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.