Individual provider Active NPI

Malka Harris Susswein, R-CSW

  • Clinical Social Worker
  • Monsey, NY
National Provider Identifier
1962622530
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R023641 Issued in NY
Practice address
40 Robert Pitt Dr
Monsey, NY 10952-3333
Phone
(845) 352-6800
Fax
(845) 352-7293
NPI assigned
Apr 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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 R023641 NY Primary

Addresses

Primary practice location

40 Robert Pitt Dr
Monsey, NY 10952-3333

Mailing address

61 Fanshaw Ave
Yonkers, NY 10705-3716
Phone (914) 646-5932

Other identifiers 1

IdentifierTypeStateIssuer
R023641OtherNYLICENSE

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

LicenseStateTypeSpecialty
R023641NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Rockland County, Inc. PastSince Oct 25, 1991 Accepting new patients
Rehab-Pro of Congers P.T.PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962622530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 FANSHAW AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053716",
            "telephone_number": "914-646-5932",
            "fax_number": "845-352-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ROBERT PITT DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523333",
            "telephone_number": "845-352-6800",
            "fax_number": "845-352-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSWEIN",
        "first_name": "MALKA",
        "middle_name": "HARRIS",
        "name_prefix": "Mrs.",
        "credential": "R-CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R023641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R023641",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.