Individual provider Active NPI

Sussana Justo

  • Clinical Social Worker
  • Yonkers, NY
National Provider Identifier
1457265100
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122186 Issued in NY
Practice address
1250 Central Park Ave FL 2
Yonkers, NY 10704-1044
Phone
(646) 287-5199
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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 122186 NY Primary

Addresses

Primary practice location

1250 Central Park Ave FL 2
Yonkers, NY 10704-1044

Mailing address

43 Amberon Avenue
Apt 5G
Yonkers, NY 10705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1457265100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 AMBERON AVENUE",
            "address_2": "APT 5G",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 CENTRAL PARK AVE FL 2",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041044",
            "telephone_number": "646-287-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTO",
        "first_name": "SUSSANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "122186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.