Individual provider Active NPI

Susan B Haskell, MSW

  • Clinical Social Worker
  • Fort Lee, NJ
National Provider Identifier
1760452833
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00016000 Issued in NJ
Practice address
1567 Palisade Ave
2C
Fort Lee, NJ 07024-6923
Phone
(201) 592-7239
Fax
(201) 836-3801
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 44SC00016000 NJ Primary

Addresses

Primary practice location

1567 Palisade Ave
2C
Fort Lee, NJ 07024-6923

Mailing address

4 Peabody CT
Teaneck, NJ 07666-6469
Phone (201) 287-0339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050412000422 NJ Practitioner - Clinical Social Worker 0941247969 Practice locations: Teaneck, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760452833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PEABODY CT",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666469",
            "telephone_number": "201-287-0339",
            "fax_number": "201-836-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 PALISADE AVE",
            "address_2": "2C",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246923",
            "telephone_number": "201-592-7239",
            "fax_number": "201-836-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKELL",
        "first_name": "SUSAN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00016000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

Verify at the official NPI Registry.