Individual provider Active NPI

Samantha B Schlussel, LCSW

  • Clinical Social Worker
  • Merrick, NY
National Provider Identifier
1720413586
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084955 Issued in NY
Practice address
1991 Smith St
Merrick, NY 11566-3578
Phone
(516) 458-7782
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 084955 NY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 089854 NY

Addresses

Primary practice location

1991 Smith St
Merrick, NY 11566-3578

Mailing address

166 Byrd St
Oceanside, NY 11572-5504
Phone (516) 458-7782

Other practice location 1

1955 Merrick Rd Ste 204
Merrick, NY 11566-4635
Phone (516) 458-7782

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

LicenseStateTypeSpecialty
084955NYMDClinical Social Worker
089854NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tempo Youth Services, Inc. PastSince Mar 19, 2023 Accepting new patients
Tempo Group, Inc. Addiction (Substance Use Disorder) PastSince Jun 29, 2019 Accepting new patients

Organizations & group practices 2

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": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1720413586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BYRD ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725504",
            "telephone_number": "516-458-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 SMITH ST",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663578",
            "telephone_number": "516-458-7782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1955 Merrick Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Merrick",
            "state": "NY",
            "postal_code": "115664635",
            "country_code": "US",
            "telephone_number": "516-458-7782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLUSSEL",
        "first_name": "SAMANTHA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084955",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "089854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.