DR. CAROL M SUSSAL


Address: 222 W 14 St, 12b, Ny, NY 10011-7226
Phone: 2129895675

DR. CAROL M SUSSAL (NPI# 1164989984) 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) 1164989984
Entity Type Individual
Full Name DR. CAROL M SUSSAL
Credential LCSW SOLE PROPRIETOR
Practice Address 222 W 14 St
12b
Ny
NY 10011-7226
Practice Telephone 2129895675
Practice Fax Number 2123677323
Mailing Telephone 2129895675
Mailing Fax Number 2123677323
Enumeration Date 2019-02-28
Last Update Date 2019-02-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
R013809 NY Behavioral Health & Social Service Providers

Office Location

Street Address 222 W 14 ST
12B
City NY
State NY
Zip Code 10011-7226

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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

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1235528167 Celeste Tolbert Social Worker 720 Lenox Avenue, Ny, NY 10039-4403 2015-01-15
1982007845 Cintia Magdalena Graham Social Worker 115-19 218st, Ny, NY 11411 2014-10-06
1154723682 Reyna Kahan Social Worker 71 West 23rd Stree, Post Graduate Center, Ny, NY 10010 2014-09-16
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1699082628 Marylin Lynette Hernandez Social Worker First Ave & 27th St., Bellevue Hospital Center, Ny, NY 10016 2010-09-13
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City NY
Zip Code 10011

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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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