Suzanne T Ensminger, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW123544 Issued in PA

Practice address

353 Market St
Sunbury, PA 17801-3403

Phone

(570) 286-9383

Fax

(570) 286-6742

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Ms. Suzanne Polyniak Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528086394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 MARKET ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178013403",
            "telephone_number": "570-286-9383",
            "fax_number": "570-286-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 MARKET ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178013403",
            "telephone_number": "570-286-9383",
            "fax_number": "570-286-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSMINGER",
        "first_name": "SUZANNE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW123544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "POLYNIAK",
            "prefix": "MS.",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Sunbury, PA
• Social Worker in Pennsylvania

• 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.