Individual provider Active NPI

Susan Carol Eisenberg, LCSW

  • Clinical Social Worker
  • West Simsbury, CT
National Provider Identifier
1013660174
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003196 Issued in CT
Practice address
239 Farms Village Rd Unit 305
West Simsbury, CT 06092-7713
Phone
(860) 325-7344
NPI assigned
Jan 30, 2022
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 003196 CT Primary

Addresses

Primary practice location

239 Farms Village Rd Unit 305
West Simsbury, CT 06092-7713

Mailing address

239 Farms Village Rd Unit 305
West Simsbury, CT 06092-7713
Phone (860) 325-7344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220408001164 CT Practitioner - Clinical Social Worker 7113313651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35 E Main St
Suite 125
Avon, CT 06001-3845
Phone (860) 325-7344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003196CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic-Self Counseling, LLC Clinical CurrentSince Mar 1, 2022 Accepting new patients

Locations

239 Farms Village Rd
Unit 305
West Simsbury, CT 06092
Phone (860) 325-7344

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1013660174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 FARMS VILLAGE RD UNIT 305",
            "city": "WEST SIMSBURY",
            "state": "CT",
            "postal_code": "060927713",
            "telephone_number": "860-325-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 FARMS VILLAGE RD UNIT 305",
            "city": "WEST SIMSBURY",
            "state": "CT",
            "postal_code": "060927713",
            "telephone_number": "860-325-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-30",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Simsbury, CT

Sources for this page

Verify at the official NPI Registry.