Individual provider Active NPI

Susan F. Yeager, LCSW-R

  • Clinical Social Worker
  • East Aurora, NY
National Provider Identifier
1851358709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0000033917 Issued in NY
Practice address
552 Linden Ave
East Aurora, NY 14052-2915
Phone
(716) 652-8100
Fax
(716) 655-6077
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

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 0000033917 NY Primary

Addresses

Primary practice location

552 Linden Ave
East Aurora, NY 14052-2915

Mailing address

552 Linden Ave
East Aurora, NY 14052-2915
Phone (716) 652-8100

Other identifiers 2

IdentifierTypeStateIssuer
00052466002OtherNYBLUECROSS/BLUESHIELD
00030241501OtherNYUNIVERA

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
I20040527000431 NY Practitioner - Clinical Social Worker 1951382746 Practice locations: East Aurora, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Buffalo School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

552 Linden Ave
East Aurora, NY 14052-2915
Phone (716) 652-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000033917NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn M Walker, LCSW, PLLC Clinical PastSince Apr 5, 2012 Accepting new patients
Catholic Charities of Buffalo PastSince Feb 8, 1999 Accepting new patients
Hulbert Counseling Services LCSW PC Clinical PastSince Jul 1, 2004 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851358709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 LINDEN AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522915",
            "telephone_number": "716-652-8100",
            "fax_number": "716-655-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 LINDEN AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522915",
            "telephone_number": "716-652-8100",
            "fax_number": "716-655-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "SUSAN",
        "middle_name": "F.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0000033917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "00052466002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00030241501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

Verify at the official NPI Registry.