Provider Demographics
NPI:1386465318
Name:CAPUTI, SUSANNA (LMSW)
Entity type:Individual
Prefix:MISS
First Name:SUSANNA
Middle Name:
Last Name:CAPUTI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 OAK ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-6553
Mailing Address - Country:US
Mailing Address - Phone:516-292-1300
Mailing Address - Fax:516-706-9661
Practice Address - Street 1:377 OAK ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-6553
Practice Address - Country:US
Practice Address - Phone:516-292-1200
Practice Address - Fax:516-706-9661
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
NY113833104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker