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

Mrs. Susan Bouton, LCSW

Individual provider Social Worker · NPI 1104971225

Mrs. Susan Bouton, LCSW is a Social Worker in Roslyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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

25 Wimbledon Dr
Roslyn, NY 11576-3084
Phone: (516) 759-9340
Fax: (516) 759-9340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence R033006 (NY)

Record details

NPI number1104971225
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 25, 2007
Last updated in NPPESJune 2, 2013

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