Susan Goryeb Simms, Licensed Clinical Social Worker, Pc
LBN: Susan Goryeb Simms, Licensed Clinical Social Worker, Pc
Susan Goryeb Simms, Licensed Clinical Social Worker, Pc is an health care organization with primary practice located at 710 Main St , Port Jefferson NY 11777-2278. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Susan Goryeb Simms, Licensed Clinical Social Worker, Pc can be contacted via phone (516) 946-3495, or through Simms, Susan via phone (516) 946-3495.
Contact Information
Primary practice address
710 Main St
Port Jefferson NY 11777-2278
Phone: (516) 946-3495
Fax:
Website:
Authorized official contact:
Name: Simms, Susan Licensed Clinical Social Worker (LCSW)
Phone: (516) 946-3495
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1821694928 |
|---|---|
| LBN Legal business name | Susan Goryeb Simms, Licensed Clinical Social Worker, Pc |
| DBA Doing business as | |
| Authorized official | Simms, Susan Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 5th, 2020 |
| Last updated | Dec 5th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821694928 | NPPES |
| New York | MEDICAID | 05191231 |
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