Susan Bass, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070683-1 Issued in NY

Practice address

2841 Nys Route 73 Ste 3
Keene, NY 12942-9998

Phone

(518) 576-4557

Fax

(518) 576-9713

NPI assigned

Jan 24, 2007

Last updated

Aug 3, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Counseling Center of Keene New York Inc

  dba Samaritan Family Counseling Center

  • Mental Health Counselor
  • Keene, NY
  • NPI 1710923115

  Clinical

  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1609921238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 NYS ROUTE 73 STE 3",
            "address_2": "P.O. BOX 48",
            "city": "KEENE",
            "state": "NY",
            "postal_code": "129429998",
            "telephone_number": "518-576-4557",
            "fax_number": "518-576-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 NYS ROUTE 73 STE 3",
            "city": "KEENE",
            "state": "NY",
            "postal_code": "129429998",
            "telephone_number": "518-576-4557",
            "fax_number": "518-576-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070683-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Baillargeon, RD
• Marie Kay Cogar, LMFT
• Lynn Ruth Edmonds, RN, MS
• Family Counseling Center of Keene New York Inc (Samaritan Family Counseling Center)
• John Joseph Haverlick, LCSWR
• Keene Emergency Medical Services Inc

• Clinical Social Worker in Keene, NY
• Providers in Keene, 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 Aug 3, 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.