Active NPI
Gail Zussman, MSW, LCSWR
- Clinical Social Worker
- Trumansburg, NY
National Provider Identifier
1992865208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R031297-1
- Practice address
- 41 Bradley St
Trumansburg, NY 14886-9178 - Phone
- (607) 387-5925
- Fax
- (607) 387-9672
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | R031297-1 | NY | Primary |
Addresses
Primary practice location
41 Bradley St
Trumansburg, NY 14886-9178
Mailing address
41 Bradley St
Trumansburg, NY 14886-9178
Phone (607) 387-5925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02262962 | 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 |
|---|---|---|---|
| R031297-1 | NY | MD | Clinical Social Worker |
| 031297 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Psychological Consultants PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Elmira, NY
- NPI 1447348859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992865208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 BRADLEY ST",
"city": "TRUMANSBURG",
"state": "NY",
"postal_code": "148869178",
"telephone_number": "607-387-5925",
"fax_number": "607-387-9672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 BRADLEY ST",
"city": "TRUMANSBURG",
"state": "NY",
"postal_code": "148869178",
"telephone_number": "607-387-5925",
"fax_number": "607-387-9672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUSSMAN",
"first_name": "GAIL",
"name_prefix": "Ms.",
"credential": "MSW, LCSWR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R031297-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02262962",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trumansburg, 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.