Provider Demographics
NPI:1073733721
Name:SAPOLSKY, SUSAN SIEGEL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:SIEGEL
Last Name:SAPOLSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 EAST 15TH ST
Mailing Address - Street 2:SUITE 1F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3532
Mailing Address - Country:US
Mailing Address - Phone:646-654-6521
Mailing Address - Fax:212-734-2088
Practice Address - Street 1:145 EAST 15TH ST
Practice Address - Street 2:SUITE 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3532
Practice Address - Country:US
Practice Address - Phone:646-654-6521
Practice Address - Fax:212-734-2088
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR01473311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical