SUSAN A DUBOURG (NPI# 1982233011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982233011 |
| Entity Type | Individual |
| Full Name | SUSAN A DUBOURG |
| Credential | LMSW |
| Practice Address |
43 Oaklawn Ave # 1a Glen Head NY 11545-1621 |
| Mailing Address |
43 Oaklawn Ave Glen Head NY 11545-1621 |
| Practice Telephone | 9178463861 |
| Mailing Telephone | 5166749158 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 103167-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
43 OAKLAWN AVE # 1A |
| City | GLEN HEAD |
| State | NY |
| Zip Code | 11545-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896350 | Ian Persits | Student in an Organized Health Care Education/Training Program | Hannah and Charles Serota Academic Center, Glen Head, NY 11545 | 2020-03-13 |
| 1699279281 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 711 Glen Cove Rd, Glen Head, NY 11545 | 2018-03-20 |
| 1164944559 | Kevin Wong | Specialist | 14 Rini Road, Glen Head, NY 11545 | 2017-07-07 |
| 1992237994 | Humaira Ali | Student in an Organized Health Care Education/Training Program | 214 Brookville Road, Glen Head, NY 11545 | 2017-03-29 |
| 1659727006 | Ana Wegmann | Specialist | 17 Chapel Gate Lane, Glen Head, NY 11545 | 2016-05-04 |
| 1427452226 | Jane Zwilling | Psychologist | 11 Wenwood Drive, Brookville, NY 11545 | 2014-10-22 |
| 1619387354 | Gillian Meketansky | Speech-Language Pathologist | 101 Northern Blvd, Glen Hed, NY 11545 | 2014-05-03 |
| 1174861819 | Monique A. Vaccaro | Speech-Language Pathologist | 36 Cherry Street, Glen Head, NY 11545 | 2013-01-30 |
| 1467704676 | Lisette Perez | Licensed Practical Nurse | 189 Wheatley Rd., Brookville, NY 11545 | 2012-10-11 |
| 1952666323 | Catherine Forsander | Specialist | 14 Hillside Avenue, Glen Head, NY 11545 | 2012-07-11 |
| Find all providers in zip 11545 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821233081 | Karen Frances Seltzer | Social Worker | 1a Chelmsford Dr, Glen Head, NY 11545-3007 | 2008-12-02 |
| 1801926472 | Sarah Tucker Halliday | Social Worker | 6 Glen Lane, Glen Head, NY 11545-1120 | 2007-03-06 |
| 1285784835 | Marcia Gross | Social Worker | 1 Cedar Lane North, Glen Head, NY 11545-1703 | 2007-01-12 |
| 1710459250 | Kierstin Berwick | Social Worker | 189 Wheatley Rd, Glen Head, NY 11545-2641 | 2018-12-21 |
| 1003118027 | James Mayer | Social Worker | 333 Glen Head Rd, Suite 155, Glen Head, NY 11545-1947 | 2010-11-23 |
| 1235337163 | Margarita M Kugler | Social Worker | 189 Wheatley Rd, Glen Head, NY 11545-2641 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1386245215 | Vanessa Salazar | Social Worker | 55 E 115th St Apt 3i, New York, NY 10029-1179 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1699376673 | Kevin James Kleinknecht | Social Worker | 4332 47th St Apt B34, Sunnyside, NY 11104-1755 | 2020-11-05 |
| 1255932372 | Shaquan Robinson | Social Worker | 118 Roeckel Ave, Valley Stream, NY 11580-3504 | 2020-11-04 |
| 1992306252 | Joseph Catalano | Social Worker | 57 Oneida Ave, South Setauket, NY 11720-1130 | 2020-11-03 |
| 1982205282 | Stephanie Lopez | Social Worker | 85 Vista Ter S, Mahopac, NY 10541-3154 | 2020-11-03 |
| 1194326611 | Rebecca Leigh Eckerson | Social Worker | 4 Woodlake Dr, Saratoga Springs, NY 12866-8844 | 2020-11-02 |
| 1760083299 | Alena Nazarova | Social Worker | 7802 Bay Pkwy, Brooklyn, NY 11214-1508 | 2020-11-02 |
| 1306447966 | Juliana Pepaj | Social Worker | 13835 Elder Ave Apt 5g, Flushing, NY 11355-4068 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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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.