Active NPI
Susan F. Yeager, LCSW-R
- Clinical Social Worker
- East Aurora, NY
National Provider Identifier
1851358709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0000033917
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00052466002 | Other | NY | BLUECROSS/BLUESHIELD |
| 00030241501 | Other | NY | UNIVERA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000033917 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dawn M Walker, LCSW, PLLC | Clinical | Past | Accepting new patients |
| Catholic Charities of Buffalo | Past | Accepting new patients | |
| Hulbert Counseling Services LCSW PC | Clinical | Past | 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.
-
- Community/Behavioral Health Agency
- Buffalo, NY
- NPI 1962596718
-
- Clinical Social Worker
- East Aurora, NY
- NPI 1184982316
-
- Clinical Social Worker
- Jamestown, NY
- NPI 1720120629
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.