Susan G. Weissbach, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P044544 Issued in NY

Practice address

1101 Main Street
C/O WJCS
Peekskill, NY 10566

Phone

(914) 737-7338

Fax

(914) 737-1050

NPI assigned

Apr 11, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 8, 2020 through Dec 8, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Westchester Jewish Community Services Inc.

  • Community/Behavioral Health Agency
  • Peekskill, NY
  • NPI 1831887926
  NPD (past)

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1861782989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 JAMES ROAD",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-737-7338",
            "fax_number": "914-737-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MAIN STREET",
            "address_2": "C/O WJCS",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "10566",
            "telephone_number": "914-737-7338",
            "fax_number": "914-737-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSBACH",
        "first_name": "SUSAN",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P044544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis A Walsh, MSOTR/L
• Theresa Li-Chu Wang, CNM
• Latoya Ward
• Jacqueline Wazeter, LPN
• William David Weeks, FNP
• Telethia Welch, LPN
• West Ledge Op LLC
• Westchester Jewish Community Services Inc.
• Hsiao-Fa Wendy Williams, FNP-BC
• Tracy Ann Nadine Williams, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.