Individual provider Active NPI

Susan Cohen-Reid, LCSW

  • Clinical Social Worker
  • Saratoga Springs, NY
National Provider Identifier
1699795740
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO25989-1 Issued in NY
Practice address
15 Maple Dell Ste 3
Saratoga Springs, NY 12866-2953
Phone
(518) 871-1226
Fax
(518) 871-1303
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X RO25989-1 NY Primary

Addresses

Primary practice location

15 Maple Dell Ste 3
Saratoga Springs, NY 12866-2953

Mailing address

15 Maple Dell Ste 3
Saratoga Springs, NY 12866-2953
Phone (518) 871-1226

Other identifiers 1

IdentifierTypeStateIssuer
01939362MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080807000546 NY Practitioner - Clinical Social Worker 9032283130 Practice locations: Saratoga Springs, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Maple Dell
Suite 2
Saratoga Springs, NY 12866-2953
Phone (518) 871-1226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO25989-1NYMDClinical Social Worker
025989NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oberg Psychiatric Nurse Practitioner, PLLC PastSince Oct 3, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1699795740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAPLE DELL STE 3",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662953",
            "telephone_number": "518-871-1226",
            "fax_number": "518-871-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAPLE DELL STE 3",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662953",
            "telephone_number": "518-871-1226",
            "fax_number": "518-871-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN-REID",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO25989-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01939362",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.