Active NPI
Susan M Roy, LCSW
- Clinical Social Worker
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15047
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW15047 | FL | MD | Clinical Social Worker |
| 076751 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Author Health Professionals, PC | Current | Accepting new patients | |
| Southeast Psych Services LLC | Clinical | Current | Accepting new patients |
| Personal Recovery Network LLC | Current | Accepting new patients | |
| Sco Family of Services Dba Madonna Heights Service Clinic | Past | 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.
-
- Psychiatry Physician
- Miami, FL
- NPI 1740897321
-
dba LifeStance Health
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
FL
-
dba Integrated Psych Solutions
- Psychologist
- Ellicott City, MD
- NPI 1871188771
Clinical, FL
-
- Clinic/Center
- Spring Hill, FL
- NPI 1750931622
-
- Physical Disabilities Residential Treatment Facility
- Garden City, NY
- NPI 1992801062
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
- Chad Michael Rose, D.C.
- Saul Rosenblum, M.D.
- Rosie Premium Home Care LLC
- Anna-Marie M Roswold, ARNP
- Mark A Rothschild, MD
- Royal Palm Beach Rehab Corp (Action Physical Therapy)
- Royal Palm Beach Rehab Corp (Action Physical Therapy)
- Rozensky Ilkka and Associates PA (Southern Trace Dental)
- Richard W Rozensky, DDS
- Shaun Matthew Rudi, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.