Provider Demographics
NPI:1184783946
Name:PIOWATY, SUSAN DIANE (LCSWR)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:DIANE
Last Name:PIOWATY
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 SPRINGTOWN RD
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-3025
Mailing Address - Country:US
Mailing Address - Phone:845-256-1515
Mailing Address - Fax:845-256-1515
Practice Address - Street 1:127 SPRINGTOWN RD
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-3025
Practice Address - Country:US
Practice Address - Phone:845-256-1515
Practice Address - Fax:845-256-1515
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0399161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY107576OtherUNITED BEHAVIORAL HEALTH
NY324504OtherMVP
NY10057773OtherCDPHP
NY2153623OtherCIGNA
NY137122OtherVALUE OPTIONS GHI
NY7932322OtherAETNA
NY279743000OtherMEGELLAN
NY00495189002OtherBLUE SHIELD OF NE NY
NY7480508OtherVALUE OPTIONS EMPIRE PLA
NYP2186230OtherOXFORD
NYR039916OtherHIP
NYP2186230OtherOXFORD