Individual provider Active NPI

Susan Druce, LCSW

  • Clinical Social Worker
  • Schenectady, NY
National Provider Identifier
1255578670
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO17835 Issued in NY
Practice address
2306 Pine Ridge Rd
Schenectady, NY 12309-1216
Phone
(518) 370-0818
NPI assigned
Jan 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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 RO17835 NY Primary

Addresses

Primary practice location

2306 Pine Ridge Rd
Schenectady, NY 12309-1216

Mailing address

2306 Pine Ridge Rd
Schenectady, NY 12309-1216
Phone (518) 370-0818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180524001079 NY Practitioner - Clinical Social Worker 1254696164 Practice locations: Schenectady, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2306 Pine Ridge Rd
Niskayuna, NY 12309-1216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO17835NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1255578670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 PINE RIDGE RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123091216",
            "telephone_number": "518-370-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 PINE RIDGE RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123091216",
            "telephone_number": "518-370-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUCE",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO17835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.