SUSAN M WILLIS LCSW
NPI 1356389092
Social Worker in Ithaca, NY

Q: What is Susan Willis's NPI number?

The NPI number for Susan Willis is 1356389092. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is Susan Willis'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 Willis was last updated on April 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 June 03, 2006

201 EAST GREEN ST, ITHACA, NY 14850(607) 274-6200(607) 274-6316 Get Directions Write a Review

NPPES record last updated: April 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Susan M Willis Lcsw NPPES

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

SUSAN M WILLIS LCSW (NPI 1356389092) is an individual social worker in Ithaca, New York, licensed in New York (RO452381) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1356389092

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSUSAN M WILLISCredential: LCSW

Location Address201 EAST GREEN STIthaca, NY 14850

Mailing Address113 Texas LaneIthaca, NY 14850 · (607) 274-6200 · Fax (607) 274-6316

Phone(607) 274-6200

Fax(607) 274-6316

Sole ProprietorNo

Enumeration DateJune 3, 2006

Last NPPES UpdateApril 5, 2011

✔ NPI 1356389092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · RO452381

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.

201 EAST GREEN ST, Ithaca, NY 14850

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Other Identifiers 1

Medicare ID-Type UnspecifiedBB6660NY

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.

JON W KLOPPEL

Case Manager/Care Coordinator