Active NPI
Susan Ann Becker-Weidman, LCSW
- Clinical Social Worker
- Williamsville, NY
National Provider Identifier
1497852818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R057251-1
- Practice address
- 5820 Main St Ste 406
Williamsville, NY 14221-5734 - Phone
- (716) 810-0790
- Fax
- (716) 636-6243
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R057251-1 | NY | Primary |
Addresses
Primary practice location
5820 Main St Ste 406
Williamsville, NY 14221-5734
Mailing address
5820 Main St Ste 406
Williamsville, NY 14221-5734
Phone (716) 810-0790
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5820 Main St
Suite 406
Williamsville, NY 14221-5734
Phone (716) 636-6243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R057251-1 | NY | MD | Clinical Social Worker |
| 057251 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Becker-Weidman, CSW, P.C. | Clinical | Current | Accepting new patients |
| Zali Psychology PC | Current | Accepting new patients |
Locations
5820 Main St
Ste 406
Williamsville, NY 14221
Phone (716) 202-2210
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Williamsville, NY
- NPI 1467991299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497852818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 MAIN ST STE 406",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215734",
"telephone_number": "716-810-0790",
"fax_number": "716-636-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 MAIN ST STE 406",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215734",
"telephone_number": "716-810-0790",
"fax_number": "716-636-6243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER-WEIDMAN",
"first_name": "SUSAN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R057251-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- 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.
- 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.