Active NPI
Ariel Cussen, LCSW
- Clinical Social Worker
- Willimantic, CT
National Provider Identifier
1013498153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 012890
- Practice address
- 289 Windham Rd
Willimantic, CT 06226-3528 - Phone
- (860) 465-2650
- NPI assigned
- Aug 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 012890 | CT | Primary |
Addresses
Primary practice location
289 Windham Rd
Willimantic, CT 06226-3528
Mailing address
289 Windham Rd
Willimantic, CT 06226-3528
Phone (860) 465-2650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012890 | CT | MD | Clinical Social Worker |
| 13388 | CT | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rushford Center, Inc. | Clinical | Current | Accepting new patients |
Locations
883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1013498153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 WINDHAM RD",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062263528",
"telephone_number": "860-465-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 WINDHAM RD",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062263528",
"telephone_number": "860-465-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSSEN",
"first_name": "ARIEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "012890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.