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

Jennie Sucilsky, LCSW

Individual provider Clinical Social Worker · NPI 1205088473

Jennie Sucilsky, LCSW is a Clinical Social Worker in Kings Park, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

11 Terri Dr
Kings Park, NY 11754-5029
Phone: (631) 816-6138
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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 081747 (NY)

Record details

NPI number1205088473
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 18, 2008
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021

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