SUSAN BOUTON CSW PC
NPI 1649520677
Social Worker - Clinical in Roslyn, NY

Active since September 18, 2012
25 WIMBLEDON DR, ROSLYN, NY 11576(516) 759-9340 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Susan Bouton Csw Pc NPPES

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

SUSAN BOUTON CSW PC (NPI 1649520677) is a healthcare organization registered as a clinical in Roslyn, New York and active in the NPI registry since September 2012. The organization lists Susan Bouton, President, as its authorized official.

NPPES Registry Identity

NPI1649520677
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSUSAN BOUTON CSW PC
Location Address25 WIMBLEDON DRRoslyn, NY 11576-3084
Mailing Address25 Wimbledon DrRoslyn, NY 11576-3084 · (516) 759-9340
Organization SubpartNo
Authorized OfficialSusan BoutonPresident · (516) 759-9340
Enumeration DateSeptember 18, 2012
Last NPPES UpdateJune 4, 2013
NPI 1649520677 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 · R033006-1
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.
25 WIMBLEDON DR, Roslyn, NY 11576

Other Identifiers 1

Medicare UPINN17771NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Social Worker
25 WIMBLEDON DR
ROSLYN, NY 11576

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 Bouton Csw PC's NPI number?

The NPI number for Susan Bouton Csw PC is 1649520677. It was assigned to this organization in the NPPES registry on September 18, 2012.

Where is Susan Bouton Csw PC located?

Susan Bouton Csw PC is located at 25 Wimbledon Dr, Roslyn, NY 11576. The listed phone number is (516) 759-9340.

What is Susan Bouton Csw PC'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 Bouton Csw PC was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.