NPI Details
Suzanne J Ennis, LCSW is a clinical social worker in Setauket, NY with 45 years of experience. The provider is 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. Suzanne J Ennis, LCSW NPI is 1912914383. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:1981
The provider's business location address is:
5 BLUEBERRY RIDGE RD
SETAUKET, NY
ZIP 11733-503
Phone: (631) 689-8578
Fax: (631) 689-8578
The NPI 1912914383 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Psychotherapy, 1 hour (HCPCS:90837)
- Psychiatric diagnostic evaluation (HCPCS:90791)
The enumeration date for this NPI number is 8/1/2006 and was last updated on 7/8/2007.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 1041C0700X | Social Worker | Clinical | PR026735 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | N1432 | OTHER | NEW YORK | EMPIRE BLUE CROSS |
| 2 | 0008022 | OTHER | NEW YORK | GHI |
| 3 | 0008022 | OTHER | NEW YORK | VALUE OPTIONS |
| 4 | P2552029 | OTHER | NEW YORK | OXFORD |
| 5 | 182262 | OTHER | NEW YORK | GUARDIAN PHS |
| 6 | 5861327 | OTHER | NEW YORK | AETNA |
| 7 | N14231 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | |
| 8 | 01658364 | MEDICAID | NEW YORK | |
| 9 | 1052640 | OTHER | NEW YORK | BEACON HEALTH STRATEGIES |
| 10 | 12362 | OTHER | NEW YORK | VYTRA |
| 11 | N14231 | MEDICARE UPIN | NEW YORK | |
