Suzanne Hackert, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

044923 Issued in NY

Practice address

48 East St
Fort Edward, NY 12828-1811

Phone

(518) 824-8630

Fax

(518) 824-2302

NPI assigned

Jul 5, 2006

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

Other identifiers 1

Electronic endpoints 1

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

Practice roles

Locations

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.

• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Warrensburg, NY
  • NPI 1194738344
  Medicare reassignment NPD
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Mineville, NY
  • NPI 1902900111

  Clinical

  NPD
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Salem, NY
  • NPI 1982417119
  NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1962433169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 EAST ST",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128281811",
            "telephone_number": "518-824-8630",
            "fax_number": "518-824-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKERT",
        "first_name": "SUZANNE",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "044923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02792189",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzanne.hackert.3@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "48 East St",
            "city": "Fort Edward",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128281811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael W Fuller, MD
• Philip Joseph Gara Jr., MD FACP
• Lisa Goodrich, LPN
• Laurel Green, LMSW
• Sasha Grems, RN
• Patricia L. Hale I, MD, PHD, FACP
• Charlene Harrington, PA
• Felicia A Heber, FNP
• Aimee Christine Herring
• Janelle Hodges

• Clinical Social Worker in Fort Edward, NY
• Providers in Fort Edward, 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 Dec 29, 2025; 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.