SUSAN ELLEN GARDNER LCSW
NPI 1508079443
Social Worker - Clinical in Massapequa, NY

Active since May 07, 2007
4250 SUNRISE HWY, SUITE 103, MASSAPEQUA, NY 11758(516) 799-4864(516) 797-7210 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan Ellen Gardner Lcsw NPPES

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

SUSAN ELLEN GARDNER LCSW (NPI 1508079443) is an individual clinical provider in Massapequa, New York, licensed in New York (PR018985-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1508079443
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN ELLEN GARDNERCredential: LCSW
Location Address4250 SUNRISE HWY, SUITE 103Massapequa, NY 11758-5338
Mailing Address4250 Sunrise Hwy, Suite 103Massapequa, NY 11758-5338 · (516) 799-4864 · Fax (516) 797-7210
Fax(516) 797-7210
Sole ProprietorYes
Enumeration DateMay 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508079443 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 · PR018985-1
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.
4250 SUNRISE HWY, Massapequa, NY 11758

Other Identifiers 1

Medicare ID-Type UnspecifiedN77301NY · Clinical Social Worker

Other Providers at the Same Location NPPES 6

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

Behavior Analyst
4250 SUNRISE HWY
MASSAPEQUA, NY 11758
Behavior Analyst
4250 SUNRISE HWY
MASSAPEQUA, NY 11758
Behavior Analyst
4250 SUNRISE HWY
MASSAPEQUA, NY 11758
Psychologist
4250 SUNRISE HWY, SUITE # 103
MASSAPEQUA, NY 11758
Behavior Analyst
4250 SUNRISE HWY
MASSAPEQUA, NY 11758
Clinic/Center (Mental Health (Including Community Mental Health Center))
4250 SUNRISE HWY, SUITE 103
MASSAPEQUA, NY 11758

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 Susan Gardner's NPI number?

The NPI number for Susan Gardner is 1508079443. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Susan Gardner located?

Susan Gardner practices at 4250 Sunrise Hwy Suite 103, Massapequa, NY 11758. The listed phone number is (516) 799-4864.

What is Susan Gardner'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 Susan Gardner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.