SUSAN MARIE KENNEDY LCSW, CASAC2, FPA
NPI 1093290306
Social Worker in Hicksville, NY

Q: What is Susan Kennedy's NPI number?

The NPI number for Susan Kennedy is 1093290306. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Q: What is Susan Kennedy's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Kennedy was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 02, 2018PECOS Enrolled

950 S OYSTER BAY RD, HICKSVILLE, NY 11801(631) 822-6111 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2023, Dec 14, 2018, Oct 2, 2018 (3 updates tracked since 2018).

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About Susan Marie Kennedy Lcsw, Casac2, Fpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN MARIE KENNEDY LCSW, CASAC2, FPA (NPI 1093290306) is an individual social worker in Hicksville, New York, licensed in New York (048762) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093290306

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSUSAN MARIE KENNEDYCredential: LCSW, CASAC2, FPA

Location Address950 S OYSTER BAY RDHicksville, NY 11801-3511

Mailing Address950 S Oyster Bay RdHicksville, NY 11801-3511 · (516) 396-2832

Phone(631) 822-6111

Sole ProprietorNo

Enumeration DateOctober 2, 2018

Last NPPES UpdateMarch 9, 20233 updates tracked since enumeration

NPPES CertifiedMarch 9, 2023

✔ NPI 1093290306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 048762

Definition

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 10816 (NY)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 094851 (NY)

Also ListedPeer SpecialistTaxonomy 175T00000X

950 S OYSTER BAY RD, Hicksville, NY 11801

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Marie Kennedy Lcsw, Casac2, Fpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ELIZABETH SUSAN PULLARA LMSW

Social Worker