SUSAN LONDON


Address: 5 Peter Cooper Rd Apt Me, New York, NY 10010-6635
Phone: 9176939186

SUSAN LONDON (NPI# 1134753429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134753429
Entity Type Individual
Full Name SUSAN LONDON
Credential LMSW
Practice Address 5 Peter Cooper Rd Apt Me
New York
NY 10010-6635
Practice Telephone 9176939186
Mailing Telephone 9176939186
Enumeration Date 2020-02-26
Last Update Date 2020-02-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
075551 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY LMSW 075551 01

Other Providers SUSAN LONDON

NPI Name Taxonomy Address Enumeration
1649617069 Susan London Psychologist 3223 Lake Ave, Suite # 15c-396, Wilmette, IL 60091-1069 2013-05-24

Office Location

Street Address 5 PETER COOPER RD APT ME
City NEW YORK
State NY
Zip Code 10010-6635

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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

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1073031258 Tania M Debarros Social Worker 135 West 50th Street, Ny, Ny 10020, New York, NY 10020 2017-09-07
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1437514767 Mary Ann Smith Social Worker 280 W 118th St, Apt 12a, New York, NY 10026-1616 2015-12-31
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Competitor

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City NEW YORK
Zip Code 10010

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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