| Ms Susan Divito, LCSW, CASAC | |
|
950 S Oyster Bay Rd, Hicksville, NY 11801-3510 | |
| (516) 348-0285 | |
| (516) 348-0288 |
| Full Name | Ms Susan Divito |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 950 S Oyster Bay Rd, Hicksville, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396804811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12216 (New York) | Primary |
| 1041C0700X | Social Worker - Clinical | 73070149 (New York) | Secondary |
| Entity Name | Central Nassau Guidance & Counseling Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114928462 PECOS PAC ID: 6406747401 Enrollment ID: O20040322000050 |
| Entity Name | Long Island Elder Care Lcsw Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763852 PECOS PAC ID: 8224038286 Enrollment ID: O20061222000230 |
| Entity Name | Sunrise Counseling Center,ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407871353 PECOS PAC ID: 8224210232 Enrollment ID: O20110312000122 |
| Entity Name | Charles Evans Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972982007 PECOS PAC ID: 1759695992 Enrollment ID: O20160427000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan Divito, LCSW, CASAC 3 Brewster Gate, North Massapequa, NY 11758-1765 Ph: (516) 520-9124 | Ms Susan Divito, LCSW, CASAC 950 S Oyster Bay Rd, Hicksville, NY 11801-3510 Ph: (516) 348-0285 |
Latoya Williams, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 S Oyster Bay Rd, Hicksville, NY 11801 Phone: 516-822-6111 | |
Darien Jenkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 S Oyster Bay Rd, Hicksville, NY 11801 Phone: 516-822-6111 | |
Mr. Orlando Deval Isaac, Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 S Oyster Bay Rd, Hicksville, NY 11801 Phone: 516-822-6111 | |
Alexis Monique Jinks, CASAC T Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Broadway, Hicksville, NY 11801 Phone: 516-935-6858 | |
Anne G Ceant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 S Oyster Bay Rd, Hicksville, NY 11801 Phone: 516-434-0481 | |
Miosotys Charlene Hernandez, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Haverford Rd, Hicksville, NY 11801 Phone: 646-963-7156 | |
Laura C Pulido, Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 S Oyster Bay Rd, Hicksville, NY 11801 Phone: 516-660-2734 |