Individual provider Active NPI

Susannah Rebecca Gersten, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1316243892
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73 077585 Issued in NY
Practice address
406 7TH Ave
#1F
Brooklyn, NY 11215-7306
Phone
(718) 360-8531
NPI assigned
Feb 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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 73 077585 NY Primary

Addresses

Primary practice location

406 7TH Ave
#1F
Brooklyn, NY 11215-7306

Mailing address

158 Sackett St
#1A
Brooklyn, NY 11231-2950
Phone (718) 360-8531

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
73 077585NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1316243892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 SACKETT ST",
            "address_2": "#1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112312950",
            "telephone_number": "718-360-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 7TH AVE",
            "address_2": "#1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157306",
            "telephone_number": "718-360-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTEN",
        "first_name": "SUSANNAH",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73 077585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.