Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356389092 Individual Practitioner Female Practitioner

Susan M Willis , LCSW

Social Worker • Ithaca, NY

Professional Overview & Biography Verified Profile Summary

Susan Willis, LCSW is a registered healthcare professional specializing in Social Worker in Ithaca, NY. Practice services are available at 201 EAST GREEN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 East Green St

Ithaca, NY 14850

Telephone 6072746200
Fax 6072746316

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Ithaca, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
110 Specialists

Practicing in Ithaca, NY (23970 Statewide)

Telehealth Adoption Rate
2.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY RO452381

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jon Kloppel

Case Manager/Care Coordinator

NPI 1003087529
Isadora Herold

Social Worker

NPI 1003795824
Maria Pena

Social Worker - Clinical

NPI 1013185032
NPI 1013732395

Licensed Master Social Worker

Dr. Gerard Lippert , MD

Psychiatry & Neurology - Psychiatry

NPI 1013955152

Doctor of Medicine (M.D.)

Melissa Naylor , LMSW

Social Worker - Clinical

NPI 1023896081

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 05, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2011

Registered at 201 EAST GREEN ST, ITHACA, NY 14850 (Tel: 6072746200)

📍
Updated Business Mailing Address April 05, 2011

Registered at 113 TEXAS LANE, ITHACA, NY 14850 (Tel: 6072746200)

👤
Provider Name / Credentials Updated April 05, 2011

Recorded as SUSAN WILLIS, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2011

Social Worker (License #RO452381 in NY)

🟢
Initial NPI Registration & Enumeration June 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356389092
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2006
Last Update: April 05, 2011
Sole Proprietor: No

Mailing Address

113 Texas Lane

Ithaca, NY 14850

Phone: 6072746200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.