SUZANNE J ENNIS (NPI# 1912914383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912914383 |
| Entity Type | Individual |
| Full Name | SUZANNE J ENNIS |
| Credential | LCSW |
| Practice Address |
5 Blueberry Ridge Rd Setauket NY 11733-1503 |
| Practice Telephone | 6316898578 |
| Practice Fax Number | 6316898578 |
| Mailing Telephone | 6316898578 |
| Mailing Fax Number | 6316898578 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
PR026735 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | GHI | 0008022 | 01 |
| NY | VALUE OPTIONS | 0008022 | 01 |
| NY | VYTRA | 12362 | 01 |
| NY | AETNA | 5861327 | 01 |
| NY | BEACON HEALTH STRATEGIES | 1052640 | 01 |
| NY | EMPIRE BLUE CROSS | N1432 | 01 |
| NY | OXFORD | P2552029 | 01 |
| NY | 01658364 | 05 | |
| NY | GUARDIAN PHS | 182262 | 01 |
| Street Address |
5 BLUEBERRY RIDGE RD |
| City | SETAUKET |
| State | NY |
| Zip Code | 11733-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851702385 | Janet Lobiondo | Social Worker | 17 Huyler Rd, Setauket, NY 11733-1309 | 2014-05-19 |
| 1982970778 | Marylou Paccione | Social Worker | 5 Sharon Ave, Setauket, NY 11733-3918 | 2012-03-27 |
| 1598958688 | Darlene Kenny | Social Worker | 42 Conscience Cir, Setauket, NY 11733-3106 | 2007-08-22 |
| 1093929515 | Marie Hassard | Social Worker | 31 W Meadow Rd, Setauket, NY 11733-2228 | 2007-05-10 |
| 1265646137 | Judith Sara Mausner | Social Worker | 8 Heritage Lane, Setauket, NY 11733-3018 | 2007-05-10 |
| 1255451928 | Sirka Louca | Social Worker | 384 Mark Tree Rd, Setauket, NY 11733-1002 | 2007-03-29 |
| 1487796041 | Maribeth Mckeever | Social Worker | 10 Norris Ln, Setauket, NY 11733-2042 | 2007-02-12 |
| 1316093040 | Donelle Wells Thomson | Social Worker | 6 Old Field Rd, Setauket, NY 11733-2260 | 2007-01-26 |
| 1700968039 | Alyse Jane Parise | Social Worker | 1 Highview Ave, Setauket, NY 11733-3912 | 2006-10-19 |
| 1750487781 | Richard Karelis | Social Worker | 28 Jones St, Suite 200, Setauket, NY 11733-2941 | 2006-09-16 |
| Find all providers in SETAUKET | ||||
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| 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.