Individual provider Active NPI

Susan Belinda Wayn, LCSW-R

  • Clinical Social Worker
  • White Plains, NY
National Provider Identifier
1275733578
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R053383 Issued in NY
Practice address
1 Summit Ave
White Plains, NY 10606-3003
Phone
(914) 948-8004
Fax
(914) 289-0566
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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 R053383 NY Primary

Addresses

Primary practice location

1 Summit Ave
White Plains, NY 10606-3003

Mailing address

1 Summit Ave
White Plains, NY 10606-3003
Phone (914) 948-8004

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
R053383NYMDClinical Social Worker
053383NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services of Westchester, Inc. PastSince Jan 1, 2015 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, 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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1275733578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUMMIT AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106063003",
            "telephone_number": "914-948-8004",
            "fax_number": "914-289-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUMMIT AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106063003",
            "telephone_number": "914-948-8004",
            "fax_number": "914-289-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYN",
        "first_name": "SUSAN",
        "middle_name": "BELINDA",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R053383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.