Susan Nicole Boyce, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R076810-1 Issued in NY

Practice address

998 Crooked Hill Road
BLDG 81-Socr South
West Brentwood, NY 11717

Phone

(631) 761-2305

Fax

(631) 761-2199

NPI assigned

Aug 6, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1689284341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL ROAD",
            "address_2": "BLDG 81-SOCR SOUTH",
            "city": "WEST BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-761-2305",
            "fax_number": "631-761-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL ROAD",
            "address_2": "BLDG 81-SOCR SOUTH",
            "city": "WEST BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-761-2305",
            "fax_number": "631-761-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYCE",
        "first_name": "SUSAN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R076810-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirat Bal, LMSW
• Rene Belony, NP
• Sergio M Bernadin, RN
• Zachary Berr
• Helene Marie Bolina
• Emily Georgia Brierly
• Brendan John Burns
• Margaret Marie Bush, LPN
• John Cabatingan, RN
• Nicole D Cervini, MSW

• Clinical Social Worker in West Brentwood, NY
• Providers in West Brentwood, 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 6, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.