Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN ELIZABETH GYDESEN, LCSW
Active Sole ProprietorClinical Social Worker · BOONVILLE, NY
Registration Details
- NPI Number
- 1144431511
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 25, 2007 (18.958694203534 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R039553-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 SCHUYLER STBOONVILLE, NY, 133091005Browse NY providers · Browse ZIP 13309
- Phone
- 3159424252
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BOONVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| BARBARA RICE | LCSW | 1457343121 |
| TIMOTHY FRANCIS DOWLING | LCSW | 1154489813 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.