Susan Carol Eisenberg, LCSW
Individual provider Active NPI Clinical Social Worker · West Simsbury, CT
NPI 1013660174 · NPPES record last updated Aug 10, 2026
Key facts
- NPI
- 1013660174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 003196 (CT)
- Practice address
- 239 Farms Village Rd Unit 305
West Simsbury, CT 06092-7713 - Phone
- (860) 325-7344
- NPI assigned
- Jan 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220408001164 | CT | Practitioner - Clinical Social Worker | 7113313651 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003196 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Authentic-Self Counseling, LLC | Clinical | Current |
Accepting new patients |
Locations
239 Farms Village Rd
Unit 305
West Simsbury, CT 06092
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 003196 | CT | Yes |
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
Other providers in West Simsbury, CT
- Authentic-Self Counseling, LLC
- Christina Browning
- Russell A Ciafone
- John Connelly
- William E Dedominicis
- Kenneth R Finn
- Brett Inlow
- Meesha Jemison
- Tianna Georgia Kates-Matthew
- Sarah Jennie Lippincott
All providers in West Simsbury, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.