Jeannette A Sucre, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090988-01 Issued in NY

Practice address

35 Hamilton PL Apt 101
New York, NY 10031-6813

Phone

(212) 933-1865

Fax

(212) 933-1865

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychotherapy Services LCSW PLLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1831774850
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1285765784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HAMILTON PL APT 101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100316813",
            "telephone_number": "212-933-1865",
            "fax_number": "212-933-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HAMILTON PL APT 101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100316813",
            "telephone_number": "212-933-1865",
            "fax_number": "212-933-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCRE",
        "first_name": "JEANNETTE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090988-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "136167177",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Suchomel, LMSW
• Natalia Elzbieta Suchorzepka, NP
• Steven Alan Suchow
• Hannah Suchy, MB BCH BAO
• Jordan Michael Suchy, DO
• Dhiraj Suda
• Vlad Sudacov, DMD
• Amandeep Kaur Sudan, OTR/L
• Vinosha Sudasinghe, PA-C
• Nathawan Pamela Sudbanthad, PHARM.D.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.