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

MS. Susan Mary Deisroth, LCSW

Individual provider Clinical Social Worker · NPI 1306993498

MS. Susan Mary Deisroth, LCSW is a Clinical Social Worker in New York, New York. Qualified in 1983, 43 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
43
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

99 University Place 6th Fl
New York, NY 10003 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 243-1894
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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 R0298881 (NY)

Record details

NPI number1306993498
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 4, 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 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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