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Individual

MS. SUSAN DIVITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, CASAC

Contact information

Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 348-0285
(516) 348-0288
Mailing address
3 BREWSTER GATE, NORTH MASSAPEQUA, NY 11758-1765
(516) 520-9124

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12216
NY
1041C0700X
Clinical Social Worker
73070149
NY

Other

Enumeration date
12/08/2006
Last updated
09/11/2025
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