Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Susan H. Berg, DSW

Individual provider Clinical Social Worker · NPI 1053449371

Dr. Susan H. Berg, DSW is a Clinical Social Worker in Port Jefferson, New York. Qualified in 1979, 47 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
47
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

105 Whittier Pl
Port Jefferson, NY 11777-1619
Phone: (631) 928-2175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 23857R (NY)

Record details

NPI number1053449371
Entity typeIndividual (Type 1)
GenderFemale
Credentials DSW
Sole proprietorYes
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port Jefferson