Susan Gomberg Kaufman, LCSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076873 Issued in NY

Practice address

2 Old Mamaroneck Rd
White Plains, NY 10605-1723

Phone

(914) 948-4778

NPI assigned

Aug 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Susan Gomberg-Kaufman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1851671663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OLD MAMARONECK RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051723",
            "telephone_number": "914-948-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OLD MAMARONECK RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051723",
            "telephone_number": "914-948-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "SUSAN",
        "middle_name": "GOMBERG",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076873",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "043379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GOMBERG-KAUFMAN",
            "prefix": "MRS.",
            "credential": "LCSW, LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Frederick Kaufman, DDS
• James Lobach Kaufman, LCSW
• Jennifer C Kaufman, MD
• Odelya Hartung Kaufman, MD, PHD
• Robin Kaufman, PH.D.
• Monika Kaur, LPN
• Parkash Kaur, RN
• Rupinder Kaur
• Megan Kay
• KB Homecare, Inc.

• Clinical Social Worker in White Plains, NY
• Providers in White Plains, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.