Susan Dalesandro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26036 Issued in NY

Practice address

65 Ellis Ave
Northport, NY 11768-1211

Phone

(631) 262-7123

NPI assigned

Dec 19, 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

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": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1932478088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ELLIS AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681211",
            "telephone_number": "516-359-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ELLIS AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681211",
            "telephone_number": "631-262-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALESANDRO",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "26036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Rigione D'Isernia, MS
• Consuelo Da Costa
• Aubrey Dailey, LCSW
• Alpa P Dalal, O.T.
• Heather H Dale, LPN
• Helen M Daly, PMHNP-BC
• Kimberly Davidson, P.T.
• Sara G Dawber, LMSW
• Colleen Mary Defalco, NP
• Alison Sara Degennaro, PHARM.D.

• Clinical Social Worker in Northport, NY
• Providers in Northport, 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 Mar 1, 2017; 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.