Susan Goryeb Simms, Licensed Clinical Social Worker, PC
NPI 1821694928ActiveOrganization· Social Worker, Clinical· Port Jefferson, NY
Social Worker, Clinical in Port Jefferson, New York, registered in NPPES in December 2020. The authorized official on file is Susan Simms, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821694928 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 5, 2020 |
| Last updated in NPPES | Oct 22, 2026 |
| Certified by provider | Oct 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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