Individual provider Active NPI

Susan Baron Eber, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1952473340
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072290-1 Issued in NY
Practice address
750 Astor Ave
Bronx, NY 10467-9304
Phone
(718) 882-5000
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 072290-1 NY Primary

Addresses

Primary practice location

750 Astor Ave
Bronx, NY 10467-9304

Mailing address

90 Old Lyme Road
Chappaqua, NY 10514
Phone (914) 238-3777

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
I20060224000281 NY Practitioner - Clinical Social Worker 1759397912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

1940 Commerce St
Suite 309
Yorktown Heights, NY 10598-4449
Phone (914) 245-0437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072290-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Clinical CurrentSince Aug 28, 2019 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Clinical CurrentSince Jul 1, 1992 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Jul 1, 1992 Accepting new patients
Jewish Board of Family and Children'S Services, Inc Past Accepting new patients

Locations

750 Astor Ave
Bronx, NY 10467
Phone (718) 882-5000

3600 Jerome Ave
Bronx, NY 10467
Phone (718) 366-8400

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

560 White Plains Rd
Ste 215
Tarrytown, NY 10591
Phone (914) 218-2818

1940 Commerce St
Ste 309
Yorktown Heights, NY 10598
Phone (844) 468-5391

Interoperability endpoints

  • Direct secure messaging: cpa.susaneber@142175.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952473340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 OLD LYME ROAD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "10514",
            "telephone_number": "914-238-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ASTOR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104679304",
            "telephone_number": "718-882-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBER",
        "first_name": "SUSAN",
        "middle_name": "BARON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072290-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.