Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susan Marie Kennedy, LCSW, CASAC2, FPA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093290306

Susan Marie Kennedy, LCSW, CASAC2, FPA is an Addiction (Substance Use Disorder) Counselor in Hicksville, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
Specialties on file
4
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

950 S Oyster Bay Rd
Hicksville, NY 11801-3511
Phone: (631) 822-6111
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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 048762 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 10816 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 094851 (NY)
Peer Specialist Taxonomy 175T00000X (NY)

Record details

NPI number1093290306
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CASAC2 , FPA
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023

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