Provider Demographics
NPI:1023236270
Name:KRAUSZ, SUSAN (DSW)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:KRAUSZ
Suffix:
Gender:F
Credentials:DSW
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:RAE
Other - Last Name:LAVINSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, DSW
Mailing Address - Street 1:200 E 32ND ST
Mailing Address - Street 2:SUITE 29A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6306
Mailing Address - Country:US
Mailing Address - Phone:212-448-1026
Mailing Address - Fax:212-448-1424
Practice Address - Street 1:200 E 32ND ST
Practice Address - Street 2:SUITE 29A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6306
Practice Address - Country:US
Practice Address - Phone:212-448-1026
Practice Address - Fax:212-448-1424
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO16798-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPRO16798-1OtherNY STATE LICENSE- C.S.W.
NYPRO16798-1OtherNY STATE LICENSE- C.S.W.