Individual provider Active NPI

Susan Tauber Lemor, LMSW

  • Clinical Social Worker
  • New York City, NY
National Provider Identifier
1770845653
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086190-1 Issued in NY
Practice address
1133 Broadway Suite 1511
New York City, NY 10010
Phone
(917) 734-7443
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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 086190-1 NY Primary

Addresses

Primary practice location

1133 Broadway Suite 1511
New York City, NY 10010

Mailing address

1133 Broadway Suite 1511
New York City, NY 10010
Phone (917) 734-7443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 28, 2022 through Jan 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
086190-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1770845653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 BROADWAY SUITE 1511",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "917-734-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 BROADWAY SUITE 1511",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "917-734-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUBER LEMOR",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086190-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York City, NY

Sources for this page

Verify at the official NPI Registry.