Individual provider Active NPI

Susan Uretsky, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1902107089
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080397 Issued in NY
Practice address
352 7TH Ave RM 701
New York, NY 10001-5885
Phone
(917) 232-9768
NPI assigned
Nov 5, 2010
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 080397 NY Primary

Addresses

Primary practice location

352 7TH Ave RM 701
New York, NY 10001-5885

Mailing address

352 7TH Ave RM 701
New York, NY 10001-5885
Phone (917) 232-9768

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
I20241016000341 NY Practitioner - Clinical Social Worker 9234661257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1268 E 14TH St
Brooklyn, NY 11230-5241
Phone (718) 382-0045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080397NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ohel Children's Home and Family Services, Inc. Clinical Current Accepting new patients
Ohel Children's Home and Family Services, Inc. CurrentSince Sep 16, 2024 Accepting new patients
Ohel Children's Home and Family Services, Inc. Clinical CurrentSince Sep 16, 2024 Accepting new patients

Locations

1268 E 14th St
Brooklyn, NY 11230
Phone (718) 851-6300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1902107089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 7TH AVE RM 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015885",
            "telephone_number": "917-232-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 7TH AVE RM 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015885",
            "telephone_number": "917-232-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URETSKY",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.