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

Susan Ellen Gardner, LCSW

Individual provider Clinical Social Worker · NPI 1508079443

Susan Ellen Gardner, LCSW is a Clinical Social Worker in Massapequa, 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

4250 Sunrise Hwy Ste 103
Massapequa, NY 11758-5338
Phone: (516) 799-4864
Fax: (516) 797-7210
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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 PR018985-1 (NY)

Record details

NPI number1508079443
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 7, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4250 Sunrise Hwy, Suite 103, Massapequa, NY 11758-5338

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