Susan Byrne, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

044196 Issued in NY

Practice address

1490 WM Floyd Parkway
Shirley, NY 11980

Phone

(631) 924-3741

Fax

(631) 924-2413

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851483879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434516",
            "telephone_number": "631-427-3700",
            "fax_number": "631-427-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 WM FLOYD PARKWAY",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "11980",
            "telephone_number": "631-924-3741",
            "fax_number": "631-924-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "044196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00659412",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Bridges, LPN
• Christopher Brodie
• Stefanie Buccellato
• Diego Fernando Bustamante Jr.
• Francesca Butler
• Jessica Nicole Cacace, M.S.ED
• Samantha Cairo
• Christine Calabro, SPECIAL ED. TEACHER
• Alexandra Elizabeth Calestini, LCSW
• McKenzie Callagy, LPN

• All providers in Shirley, NY
• Clinical Social Worker in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.