SUZANNE J. ENNIS EDD, LCSW, P.C. (NPI# 1942577432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942577432 |
| Entity Type | Organization |
| Organization Name | SUZANNE J. ENNIS EDD, LCSW, P.C. |
| Practice Address |
5 Blueberry Ridge Rd. East Setauket NY 11733-1503 |
| Mailing Address |
P.o. Box 178 East Setauket NY 11733-0178 |
| Practice Telephone | 6316898578 |
| Practice Fax Number | 6316898578 |
| Mailing Telephone | 6316898578 |
| Mailing Fax Number | 6316898578 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | SUZANNE J. ENNIS (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 6316898578 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
026735 | NY | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SUZANNE J. ENNIS EDD, LCSW, P.C. | Suzanne J Ennis, P.o. Box 178, East Setauket, Ny 11733 |
| Street Address |
5 BLUEBERRY RIDGE RD. |
| City | EAST 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 |
|---|---|---|---|---|
| 1881294338 | Paul J Botticelli Lcsw PC | Social Worker | 100 S Jersey Ave Unit 42, East Setauket, NY 11733-2038 | 2020-10-26 |
| 1215422647 | Kristin A Scher | Social Worker | 100 S Jersey Ave Unit 1, East Setauket, NY 11733-2035 | 2018-06-27 |
| 1720417363 | Kathleen Rogers | Social Worker | 3 Fox Hollow Rd, East Setauket, NY 11733-1811 | 2013-11-04 |
| 1194083964 | Stella Ann Korotchen | Social Worker | 77 Thomas Ln, East Setauket, NY 11733-3480 | 2012-04-30 |
| 1912287053 | Amy Gironda | Social Worker | 21 Bunny Ln, East Setauket, NY 11733-3520 | 2011-08-21 |
| 1861789273 | Rebecca Anne Petrie | Social Worker | 339 Old Town Rd, East Setauket, NY 11733-3450 | 2011-07-06 |
| 1013110360 | Susan Goryeb Simms | Social Worker | 16 Storybook Ln, East Setauket, NY 11733-1727 | 2007-06-06 |
| 1497816771 | Nancy R Goldstein | Social Worker | 12 Deering St, East Setauket, NY 11733-3909 | 2006-12-12 |
| 1255419487 | Tara E Noeth | Social Worker | 14 Research Way, East Setauket, NY 11733-3453 | 2006-11-02 |
| 1205847258 | Sheila Breck | Social Worker | 100 N Country Rd, East Setauket, NY 11733 | 2006-08-11 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
Please comment or provide details below to improve the information on SUZANNE J. ENNIS EDD, LCSW, P.C..
| 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.