Amelia Sucich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R048110-1 Issued in NY

Practice address

Rte 9 & Graymoor
St. Christopher's Inn
Garrison, NY 10524

Phone

(845) 424-3616

Fax

(845) 424-3598

NPI assigned

Aug 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0a1d8e09-c5b6-42c3-8311-cf5af3665cbe/

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.

• Putnam Family and Community Services Inc

  dba CoveCare Center

  • Mental Illness Community Based Residential Treatment Facility
  • Carmel, NY
  • NPI 1972458545
  NPD (past)
• St.Christopher's Inn

  • Substance Abuse Rehabilitation Facility
  • Garrison, NY
  • NPI 1093731069
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912917683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RTE 9 & GRAYMOOR",
            "address_2": "ST. CHRISTOPHER'S INN",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "10524",
            "telephone_number": "845-424-3616",
            "fax_number": "845-424-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RTE 9 & GRAYMOOR",
            "address_2": "ST. CHRISTOPHER'S INN",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "10524",
            "telephone_number": "845-424-3616",
            "fax_number": "845-424-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCICH",
        "first_name": "AMELIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R048110-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia D Saunders, FNP
• Cindy Serra
• St.Christopher's Inn
• Stuart J Stalker
• Morgan Stebbins, LMSW, LP
• Arthur Philip Sullivan III
• Linda Tafapolsky, PSY.D.
• Yvonne M Testa
• Donna Marie Tilearcio
• Donna L Trezza

• Clinical Social Worker in Garrison, NY
• Providers in Garrison, 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 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.