Individual provider Active NPI

Susan Sterngold, MSW

  • Clinical Social Worker
  • Suffern, NY
National Provider Identifier
1275687774
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070229-1 Issued in NY
Practice address
5 Lancaster Dr
Suffern, NY 10901-7424
Phone
(845) 357-7837
Fax
(508) 546-0704
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 070229-1 NY Primary
Clinical Social Worker 1041C0700X 44SC04896900 NJ

Addresses

Primary practice location

5 Lancaster Dr
Suffern, NY 10901-7424

Mailing address

5 Lancaster Dr
Suffern, NY 10901-7424
Phone (845) 357-7837

Other identifiers 1

IdentifierTypeStateIssuer
01917775MedicaidNY

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
I20180326000391 NY Practitioner - Clinical Social Worker 6709148034 Practice locations: Suffern, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5 Lancaster Dr
Suffern, NY 10901-7424
Phone (914) 282-0289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070229NYMDSocial Worker
44SC04896900NJMDClinical Social Worker
070229-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Newbridge Services, Inc. Past Accepting new patients
Newbridge Services, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275687774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LANCASTER DR",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109017424",
            "telephone_number": "845-357-7837",
            "fax_number": "508-546-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LANCASTER DR",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109017424",
            "telephone_number": "845-357-7837",
            "fax_number": "508-546-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNGOLD",
        "first_name": "SUSAN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070229-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04896900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01917775",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.