Suzette Elizabeth Carnahan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73 063293 Issued in NY

Practice address

12809 W Main Street Rd
Randolph, NY 14772-9613

Phone

(716) 640-5316

NPI assigned

Jan 16, 2007

Last updated

Jun 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1932250602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PINE ST",
            "address_2": "STE 15",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015313",
            "telephone_number": "716-640-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12809 W MAIN STREET RD",
            "city": "RANDOLPH",
            "state": "NY",
            "postal_code": "147729613",
            "telephone_number": "716-640-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNAHAN",
        "first_name": "SUZETTE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73 063293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Adams
• Alice Alessi, MS; CCC-SLP
• Angela M Blood
• Michelle Braymiller
• Kathleen Janet Bushnell, COTA
• Crystal Casel, LMHC
• Andrew Chapman
• Sarah E. Collins, LPN
• Erika Connor, M.D.
• Melissa Dagostino

• Clinical Social Worker in Randolph, NY
• Providers in Randolph, 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 Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.