Individual provider Active NPI

Susan Myers, LCSWR

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1740316991
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R026783-1 Issued in NY
Practice address
148 Park PL
Brooklyn, NY 11217-3303
Phone
(718) 398-1962
Fax
(718) 398-8942
NPI assigned
Feb 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R026783-1 NY Primary

Addresses

Primary practice location

148 Park PL
Brooklyn, NY 11217-3303

Mailing address

148 Park PL
Brooklyn, NY 11217-3303
Phone (718) 398-1962

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

LicenseStateTypeSpecialty
R026783-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Park Slope Center for Mental Health, Inc PastSince Oct 11, 2005 Accepting new patients
New Pathways Counseling Center Clinical Past 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": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740316991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 PARK PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173303",
            "telephone_number": "718-398-1962",
            "fax_number": "718-398-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 PARK PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173303",
            "telephone_number": "718-398-1962",
            "fax_number": "718-398-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R026783-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, 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.

Verify at the official NPI Registry.