Susan Bouton CSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R033006-1 Issued in NY

Legal business name

SUSAN BOUTON CSW PC

Practice address

25 Wimbledon Dr
Roslyn, NY 11576-3084

Phone

(516) 759-9340

NPI assigned

Sep 18, 2012

Organization subpart

No

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

Authorized official

Name

Susan Bouton, CSW

Title

President

Phone

(516) 759-9340

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1649520677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WIMBLEDON DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763084",
            "telephone_number": "516-759-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WIMBLEDON DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763084",
            "telephone_number": "516-759-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN BOUTON CSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "BOUTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-759-9340",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R033006-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Suh
• Irene Anne Sullivan, ANP
• Kristen Sullivan, PA
• Alexander Haosi Sun, MD, MHS
• Neeraja Punit Suryawanshi
• Sheridah Q Swaby, M.A
• Maura C Swanson
• Michael Swong, M.D.
• T & S Associates
• Barry Tabakin, M.D.

• Clinical Social Worker in Roslyn, NY
• Providers in Roslyn, 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 Jun 4, 2013; 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.