Active NPI
Susann Cortes, LCSW
- Clinical Social Worker
- Jamaica, NY
National Provider Identifier
1588056311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 085674
- Practice address
- 9704 Sutphin Blvd
Jamaica, NY 11435-4721 - Phone
- (718) 657-7088
- Fax
- (718) 657-7092
- NPI assigned
- Mar 3, 2015
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 091917 | NY | |
| Clinical Social Worker | 1041C0700X | 085674 | NY | Primary |
Addresses
Primary practice location
9704 Sutphin Blvd
Jamaica, NY 11435-4721
Mailing address
60 Madison Ave FL 5
New York, NY 10010-1600
Phone (212) 545-2400
Other practice location 1
1 Gustave L Levy Place
box 1005 Mount Sinai Hospital
New York, NY 10029
Phone (212) 423-2900 ext. 32937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085674 | NY | MD | Clinical Social Worker |
| 091917 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1588056311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MADISON AVE FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101600",
"telephone_number": "212-545-2400",
"fax_number": "646-312-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9704 SUTPHIN BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114354721",
"telephone_number": "718-657-7088",
"fax_number": "718-657-7092"
}
],
"practiceLocations": [
{
"address_1": "1 Gustave L Levy Place",
"address_2": "box 1005 Mount Sinai Hospital",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10029",
"country_code": "US",
"telephone_number": "212-423-2900 x32937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORTES",
"first_name": "SUSANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-03",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "091917",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "085674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.