Active NPI
Susan Rossisach, LCSW-R
- Social Worker
- Orangeburg, NY
National Provider Identifier
1689973406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R035508-1
- Practice address
- 140 Old Orangeburg Road
Rockland Psychiatric Center
Orangeburg, NY 10962 - Phone
- (914) 699-6070
- NPI assigned
- Mar 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R035508-1 | NY | Primary |
Addresses
Primary practice location
140 Old Orangeburg Road
Rockland Psychiatric Center
Orangeburg, NY 10962
Mailing address
60 South 3Rd Avenue
Mt. Vernon Service Center
Mt. Vernon, NY 10550
Phone (914) 699-6070
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R035508-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1689973406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 SOUTH 3RD AVENUE",
"address_2": "MT. VERNON SERVICE CENTER",
"city": "MT. VERNON",
"state": "NY",
"postal_code": "10550",
"telephone_number": "914-699-6070",
"fax_number": "914-699-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 OLD ORANGEBURG ROAD",
"address_2": "ROCKLAND PSYCHIATRIC CENTER",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "10962",
"telephone_number": "914-699-6070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSISACH",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-18",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R035508-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.