Susan Hurd Stix, ACSW BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0258761 Issued in NY

Practice address

32 Harbor Lane
Roslyn Harbor, NY 11576-1118

Phone

(516) 621-9131

Fax

(516) 621-0801

NPI assigned

Jan 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386791804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HARBOR LANE",
            "city": "ROSLYN HARBOR",
            "state": "NY",
            "postal_code": "115761118",
            "telephone_number": "516-621-9131",
            "fax_number": "516-621-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HARBOR LANE",
            "city": "ROSLYN HARBOR",
            "state": "NY",
            "postal_code": "115761118",
            "telephone_number": "516-621-9131",
            "fax_number": "516-621-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIX",
        "first_name": "SUSAN",
        "middle_name": "HURD",
        "name_prefix": "Ms.",
        "credential": "ACSW BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0258761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gonzalo Carino Robles Jr., M.D.

• Clinical Social Worker in Roslyn Harbor, NY
• Providers in Roslyn Harbor, 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 Jul 8, 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.