Active NPI
Susan D. Howard, LCSW-R
- Clinical Social Worker
- Rye Brook, NY
National Provider Identifier
1962572727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0330581R
- Practice address
- 558 Westchester Avenue
Rye Brook, NY 10573 - Phone
- (914) 672-3493
- Fax
- (914) 934-2928
- NPI assigned
- Nov 9, 2006
- Last updated
- Feb 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0330581R | NY | Primary |
Addresses
Primary practice location
558 Westchester Avenue
Rye Brook, NY 10573
Mailing address
558 Westchester Avenue
Rye Brook, NY 10573
Phone (914) 672-3493
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02261434 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0330581R | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1962572727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 WESTCHESTER AVENUE",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "10573",
"telephone_number": "914-672-3493",
"fax_number": "914-934-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "558 WESTCHESTER AVENUE",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "10573",
"telephone_number": "914-672-3493",
"fax_number": "914-934-2928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "SUSAN",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "0330581R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02261434",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rye Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.