Active NPI
Susan J Palmer, LCSW
- Social Worker
- Forest Hills, NY
National Provider Identifier
1326056581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0724841
- Practice address
- 9610 Metropolitan Ave
Forest Hills, NY 11375-6625 - Phone
- (718) 459-0400
- Fax
- (718) 670-6479
- NPI assigned
- Aug 4, 2006
- Last updated
- Sep 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0724841 | NY | Primary |
Addresses
Primary practice location
9610 Metropolitan Ave
Forest Hills, NY 11375-6625
Mailing address
55 Water St
2ND Floor Cred Dept
New York, NY 10041-0004
Phone (646) 680-2888
Other practice location 1
7025 Yellowstone Blvd
Apt. #9S
Forest Hills, NY 11375-3164
Phone (718) 916-8960
Other practice location 2
125-06 101st Ave
Richmond Hill, NY 11419-1412
Phone (718) 849-2900
Other names 1
- Ms. Susan J Earle
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0724841 | NY | MD | Social Worker |
| 072484 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1326056581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER ST",
"address_2": "2ND FLOOR CRED DEPT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410004",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9610 METROPOLITAN AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756625",
"telephone_number": "718-459-0400",
"fax_number": "718-670-6479"
}
],
"practiceLocations": [
{
"address_1": "7025 Yellowstone Blvd",
"address_2": "Apt. #9S",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "113753164",
"country_code": "US",
"telephone_number": "718-916-8960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125-06 101st Ave",
"address_purpose": "LOCATION",
"city": "Richmond Hill",
"state": "NY",
"postal_code": "114191412",
"country_code": "US",
"telephone_number": "718-849-2900",
"fax_number": "718-559-5468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMER",
"first_name": "SUSAN",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "0724841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "EARLE",
"middle_name": "J",
"prefix": "MS.",
"credential": "CSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.