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JENNIE SUCILSKY LCSW
NPI 1205088473
Social Worker - Clinical in Kings Park, NY

Active since October 18, 2008
11 TERRI DR, KINGS PARK, NY 11754(631) 816-6138 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jennie Sucilsky Lcsw NPPES

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

JENNIE SUCILSKY LCSW (NPI 1205088473) is an individual clinical provider in Kings Park, New York, licensed in New York (081747) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1205088473
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIE SUCILSKYCredential: LCSW
Location Address11 TERRI DRKings Park, NY 11754-5029
Mailing Address11 Farber Dr Ste DBellport, NY 11713-1500
Phone(631) 816-6138
Sole ProprietorNo
Enumeration DateOctober 18, 2008
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
✔ NPI 1205088473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 081747
Definition
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.
11 TERRI DR, Kings Park, NY 11754
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennie Sucilsky's NPI number?

The NPI number for Jennie Sucilsky is 1205088473. It was assigned to this individual provider in the NPPES registry on October 18, 2008.

Where is Jennie Sucilsky located?

Jennie Sucilsky practices at 11 Terri Dr, Kings Park, NY 11754. The listed phone number is (631) 816-6138.

What is Jennie Sucilsky's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jennie Sucilsky was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.