Individual provider Active NPI

Susan Sperrazza, B.A., L.M.S.W.

  • Social Worker
  • Niagara Falls, NY
National Provider Identifier
1740979418
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
069376 Issued in NY
Practice address
7311 Porter Road
Niagara Falls, NY 14304
Phone
(716) 310-3186
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 069376 NY Primary

Addresses

Primary practice location

7311 Porter Road
Niagara Falls, NY 14304

Mailing address

171 Southwood Drive
Tonawanda, NY 14223
Phone (716) 310-3186

Other names 1

  • Miss Susan Tomsic Former name

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
069376NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1740979418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SOUTHWOOD DRIVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "14223",
            "telephone_number": "716-310-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 PORTER ROAD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14304",
            "telephone_number": "716-310-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERRAZZA",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "B.A., L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "069376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "TOMSIC",
            "prefix": "MISS",
            "credential": "B.A., L.M.S.W",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.