Individual provider Active NPI

Suzanne Marie O'Donoghue, LMSW

  • Clinical Social Worker
  • Whitestone, NY
National Provider Identifier
1316376015
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097846 Issued in NY
Practice address
1016 162ND St
Whitestone, NY 11357-2124
Phone
(917) 224-9799
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 097846 NY Primary

Addresses

Primary practice location

1016 162ND St
Whitestone, NY 11357-2124

Mailing address

8250 241St St
Bellerose, NY 11426-1310
Phone (718) 343-5854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20250428000663 NY Practitioner - Clinical Social Worker 6608391578 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097846NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Services for New York, Inc CurrentSince May 1, 2025 Accepting new patients
Suzanne O'Donoghue, Licensed Clinical Social Worker CurrentSince Mar 24, 2025 Accepting new patients
Transitional Services for New York,Inc. PastSince May 1, 2025 Accepting new patients

Locations

9027 Sutphin Blvd
Ste 5
Jamaica, NY 11435
Phone (718) 526-8400

1016 162nd St
Whitestone, NY 11357
Phone (718) 746-6647

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1316376015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 241ST ST",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261310",
            "telephone_number": "718-343-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 162ND ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113572124",
            "telephone_number": "917-224-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONOGHUE",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

Verify at the official NPI Registry.