Mrs Susan A Dewitt-glickman, LCSW is a
Psychiatry & Neurology - Psychiatry based in Kingston, New York. Mrs Susan A Dewitt-glickman is licensed to practice in New York (license number PR0399851) and her current practice location is
3 Family Practice Drive, Family Practice Center, Kingston, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 338-2562.
NPI number for Mrs Susan A Dewitt-glickman is 1104927862 and her current mailing address is 3 Family Practice Drive, Family Practice Center, Kingston, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104927862.
Healthcare Provider's Profile
| Full Name | Mrs Susan A Dewitt-glickman |
|---|
| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 3 Family Practice Drive, Kingston, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104927862
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Mrs Susan A Dewitt-glickman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104927862 | NPI | - | NPPES |
| 00733871 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | PR039985-1 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | PR0399851 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Susan A Dewitt-glickman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Susan A Dewitt-glickman, LCSW
3 Family Practice Drive, Family Practice Center,
Kingston, NY 12401
Ph: (845) 338-2562 | Mrs Susan A Dewitt-glickman, LCSW
3 Family Practice Drive, Family Practice Center,
Kingston, NY 12401
Ph: (845) 338-2562 |
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