Individual provider Active NPI

Susan Taylor Watson, LCSW

  • Clinical Social Worker
  • Yonkers, NY
National Provider Identifier
1720601859
Registry record updated May 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072566 Issued in NY
Practice address
89 Landscape Ave
Yonkers, NY 10705-3831
Phone
(914) 671-9700
NPI assigned
May 23, 2020
Last updated
May 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2020

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 072566 NY Primary

Addresses

Primary practice location

89 Landscape Ave
Yonkers, NY 10705-3831

Mailing address

89 Landscape Ave
Yonkers, NY 10705-3831
Phone (914) 671-9700

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
I20220412001832 NY Practitioner - Clinical Social Worker 3678969060 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072566NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
My Therapist LCSW, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Michael Hargrove MD PLLC CurrentSince Mar 9, 2024 Accepting new patients
Senior Care Therapy LCSW of New York PLLC Clinical CurrentSince Apr 1, 2022 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

3505 Hill Blvd
Ste K
Yorktown Heights, NY 10598
Phone (914) 245-3303

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1720601859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 LANDSCAPE AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053831",
            "telephone_number": "914-671-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 LANDSCAPE AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053831",
            "telephone_number": "914-671-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "SUSAN",
        "middle_name": "TAYLOR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-23",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.