Active NPI
Susan E Ulintz, LMSW
- Social Worker
- Nyack, NY
National Provider Identifier
1710014964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0722241
- Practice address
- 51 Brookside Avenue
Nyack, NY 10960 - Phone
- (845) 639-8586
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0722241 | NY | Primary |
| Social Worker | 104100000X | 6801018469 | MI |
Addresses
Primary practice location
51 Brookside Avenue
Nyack, NY 10960
Mailing address
51 Brookside Avenue
Nyack, NY 10960
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801018469 | MI | MD | Social Worker |
| 0722241 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710014964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 BROOKSIDE AVENUE",
"city": "NYACK",
"state": "NY",
"postal_code": "10960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 BROOKSIDE AVENUE",
"city": "NYACK",
"state": "NY",
"postal_code": "10960",
"telephone_number": "845-639-8586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULINTZ",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "0722241",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801018469",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.