Suzzanne C Rosselot, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR018525-1 Issued in NY

Practice address

7000 E Genesee St
Lyndon Office Park, BLDG C
Fayetteville, NY 13066-1131

Phone

(315) 446-6208

Fax

(315) 446-4120

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Suzzanne C Rosselot Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568475952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 E. GENESEE STREET,",
            "address_2": "LYNDON OFFICE PARK, BLDG C",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661831",
            "telephone_number": "315-446-6208",
            "fax_number": "315-446-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 E GENESEE ST",
            "address_2": "LYNDON OFFICE PARK, BLDG C",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661131",
            "telephone_number": "315-446-6208",
            "fax_number": "315-446-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSELOT",
        "first_name": "SUZZANNE",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR018525-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZZANNE",
            "last_name": "ROSSELOT",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sonja Rockett, OTR
• Gerard S Rodziewicz, MD
• Melissa Roe, PA
• Ronald S D'Amico DPM
• Matthew Henry Rosa, MD
• Stephen Jay Rothenberg, DDS
• Melissa A Rothfeld, PT
• Marenea R Roule, CRNA
• Rochele Royster, ATR-BC
• Renee Anne Ryan, M.D.

• Clinical Social Worker in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Clinical Social Worker in New York

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.