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Contact Information

SUSAN A DEWITT GLICKMAN, LCSW
3 FAMILY PRACTICE DRIVE
FAMILY PRACTICE CENTER
KINGSTON, NY12401
 Phone: 845-338-2562
 Fax: 845-338-8909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SUSAN A DEWITT GLICKMAN · (Female)

NPI Number 1104927862
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 09/26/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • NY License # PR039985-1
  • NY License # PR0399851
  • NY Medicaid 00733871
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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