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

Susan M Willis, LCSW

Individual provider Social Worker · NPI 1356389092

Susan M Willis, LCSW is a Social Worker in Ithaca, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

201 E Green St
Ithaca, NY 14850
Phone: (607) 274-6200
Fax: (607) 274-6316
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence RO452381 (NY)

Record details

NPI number1356389092
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESApril 5, 2011

Other providers in Ithaca