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

Individual provider Clinical Social Worker · NPI 1962035204

Susan Renee Banco, LCSW is a Clinical Social Worker in Jericho, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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

286 Carriage House Dr
Jericho, NY 11753
Phone: (516) 805-6852
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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 R020398-01 (NY)

Record details

NPI number1962035204
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 14, 2020
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020

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