Individual provider Active NPI

Susan Leshen, LCSW

  • Clinical Social Worker
  • East Meadow, NY
National Provider Identifier
1528310281
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R046376-1 Issued in NY
Practice address
207 Saint Johns PL
East Meadow, NY 11554-2422
Phone
(646) 220-9714
NPI assigned
Oct 4, 2012
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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 R046376-1 NY Primary

Addresses

Primary practice location

207 Saint Johns PL
East Meadow, NY 11554-2422

Mailing address

207 Saint Johns PL
East Meadow, NY 11554-2422
Phone (646) 220-9714

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201217001598 NY Practitioner - Clinical Social Worker 5193137073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bio Behavioral Psychology P.C.Group PAC ID 0749345064, 5 clinicians

Practice addresses (Care Compare)

935 Northern Blvd
Suite 102
Great Neck, NY 11021-5309
Phone (516) 487-7116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R046376-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bio Behavioral Psychology P.C. CurrentSince Aug 1, 2021 Accepting new patients

Locations

935 Northern Blvd
Ste 102
Great Neck, NY 11021
Phone (516) 487-7116

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1528310281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SAINT JOHNS PL",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542422",
            "telephone_number": "646-220-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SAINT JOHNS PL",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542422",
            "telephone_number": "646-220-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESHEN",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2020-09-23",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R046376-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.