Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSAN GORYEB SIMMS, LICENSED CLINICAL SOCIAL WORKER, PC
NPI 1821694928
Social Worker - Clinical in Port Jefferson, NY

Active since December 05, 2020
1227 MAIN ST, PORT JEFFERSON, NY 11777(516) 946-3495 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 12, 2026, Dec 5, 2020 (2 updates tracked since 2020).

About Susan Goryeb Simms, Licensed Clinical Social Worker, Pc NPPES

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

SUSAN GORYEB SIMMS, LICENSED CLINICAL SOCIAL WORKER, PC (NPI 1821694928) is a healthcare organization registered as a clinical in Port Jefferson, New York and active in the NPI registry since December 2020. The organization maintains a secondary practice location in East Setauket and lists Susan Simms, Owner, as its authorized official.

NPPES Registry Identity

NPI1821694928
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSUSAN GORYEB SIMMS, LICENSED CLINICAL SOCIAL WORKER, PC
Location Address1227 MAIN STPort Jefferson, NY 11777-2227
Mailing Address16 Storybook LnEast Setauket, NY 11733-1727 · (516) 946-3495
Organization SubpartNo
Authorized OfficialSusan SimmsOwner · (516) 946-3495
Enumeration DateDecember 5, 2020
Last NPPES UpdateOctober 22, 20262 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1821694928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1227 MAIN ST, Port Jefferson, NY 11777

Secondary Practice Location 1

Location 116 Storybook LnEast Setauket, NY 11733-1727 · Phone (516) 946-3495

Other Identifiers 1

Medicaid05191231NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Goryeb Simms, Licensed Clinical Social Worker, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Susan Goryeb Simms, Licensed Clinical Social Worker, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1003589573
1227 MAIN ST
Port Jefferson, NY 11777
(516) 946-3495
✔ PECOSSame address
Clinical Social Worker
NPI 1013110360
16 STORYBOOK LN
East Setauket, NY 11733
(631) 751-8479
✔ PECOS✔ Accepts Medicare2.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Goryeb Simms, Licensed Clinical Social Worker, PC's NPI number?

The NPI number for Susan Goryeb Simms, Licensed Clinical Social Worker, PC is 1821694928. It was assigned to this organization in the NPPES registry on December 5, 2020.

Where is Susan Goryeb Simms, Licensed Clinical Social Worker, PC located?

Susan Goryeb Simms, Licensed Clinical Social Worker, PC is located at 1227 Main St, Port Jefferson, NY 11777. The listed phone number is (516) 946-3495.

What is Susan Goryeb Simms, Licensed Clinical Social Worker, PC's specialty?

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

Is Susan Goryeb Simms, Licensed Clinical Social Worker, PC enrolled in Medicare?

Yes. Susan Goryeb Simms, Licensed Clinical Social Worker, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Susan Goryeb Simms, Licensed Clinical Social Worker, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Susan Goryeb Simms, Licensed Clinical Social Worker, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Susan Goryeb Simms, Licensed Clinical Social Worker, PC was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.