Susan Divito, LCSW, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12216 Issued in NY

Practice address

950 S Oyster Bay Rd
Hicksville, NY 11801-3510

Phone

(516) 348-0285

Fax

(516) 348-0288

NPI assigned

Dec 8, 2006

Last updated

Sep 11, 2025By 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 2

Addresses

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

Locations

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

• Charles Evans Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bethpage, NY
  • NPI 1972982007
  Medicare reassignment NPD
• Long Island Elder Care LCSW PLLC

  • Social Worker
  • Smithtown, NY
  • NPI 1295763852
  Medicare reassignment NPD
• Sunrise Counseling Center,LTD

  • Clinical Social Worker
  • East Islip, NY
  • NPI 1407871353
  Medicare reassignment NPD
• Central Nassau Guidance & Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Hicksville, NY
  • NPI 1114928462
  Medicare reassignment
• Charles Evans Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Seaford, NY
  • NPI 1215596614
  NPD
• Charles Evans Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Cove, NY
  • NPI 1770142366
  NPD

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1396804811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BREWSTER GATE",
            "city": "NORTH MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581765",
            "telephone_number": "516-520-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013510",
            "telephone_number": "516-348-0285",
            "fax_number": "516-348-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVITO",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "12216",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73070149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Dipietro
• Jessica Dippi
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• Amanda Disalvo, MA
• Mary Ellen Diver
• DME Solutions, LLC.
• Jordan James Dolgos
• Sangye Dolker, COTA/L
• Gayle Dolowich, RN
• Michael Dominiak, PA-C

• Addiction (Substance Use Disorder) Counselor in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.