Active NPI
Suzanne J Delong, LCSW ACSW
- Clinical Social Worker
- Syracuse, NY
National Provider Identifier
1992877641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R0308181
- Practice address
- 770 James St Suite 215
Clinical Counseling Associates
Syracuse, NY 13203 - Phone
- (315) 422-0671
- Fax
- (315) 422-2734
- NPI assigned
- Nov 15, 2006
- 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 | R0308181 | NY | Primary |
Addresses
Primary practice location
770 James St Suite 215
Clinical Counseling Associates
Syracuse, NY 13203
Mailing address
770 James St Suite 215
Clinical Counseling Associates
Syracuse, NY 13203
Phone (315) 422-0671
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 |
|---|---|---|---|
| R0308181 | NY | MD | Clinical Social Worker |
| 030818 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992877641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 JAMES ST SUITE 215",
"address_2": "CLINICAL COUNSELING ASSOCIATES",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13203",
"telephone_number": "315-422-0671",
"fax_number": "315-422-2734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 JAMES ST SUITE 215",
"address_2": "CLINICAL COUNSELING ASSOCIATES",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13203",
"telephone_number": "315-422-0671",
"fax_number": "315-422-2734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELONG",
"first_name": "SUZANNE",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LCSW ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R0308181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, 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.