Active NPI
Susan J Brenner, LCSW LMFT
- Marriage & Family Therapist
- New York, NY
National Provider Identifier
1477685170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0006561
- Practice address
- 817 Broadway
Suite 916
New York, NY 10003 - Phone
- (212) 367-9044
- Fax
- (212) 367-9044
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR0071091 | NY | |
| Marriage & Family Therapist | 106H00000X | 0006561 | NY | Primary |
Addresses
Primary practice location
817 Broadway
Suite 916
New York, NY 10003
Mailing address
140 Thompson St
Apt 4a
New York, NY 10012
Phone (212) 367-9044
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060301000736 | NY | Practitioner - Clinical Social Worker | 5092721977 | Practice locations: Sleepy Hollow, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1963
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Sleepy Hollow, NY 10591
Phone (646) 641-3999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR0071091 | NY | MD | Clinical Social Worker |
| 0006561 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1477685170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 THOMPSON ST",
"address_2": "APT 4A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10012",
"telephone_number": "212-367-9044",
"fax_number": "212-367-9044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 BROADWAY",
"address_2": "SUITE 916",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-367-9044",
"fax_number": "212-367-9044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "SUSAN",
"middle_name": "J",
"credential": "LCSW LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR0071091",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "0006561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.