Active NPI
Susan P Loomis, LMSW
- Social Worker
- Stamford, CT
National Provider Identifier
1043074800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6904
- Practice address
- 566 Newfield Ave Apt 9
Stamford, CT 06905-3300 - Phone
- (804) 363-0621
- NPI assigned
- Feb 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6904 | CT | Primary |
Addresses
Primary practice location
566 Newfield Ave Apt 9
Stamford, CT 06905-3300
Mailing address
566 Newfield Ave Apt 9
Stamford, CT 06905-3300
Phone (804) 363-0621
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251208000702 | CT | Practitioner - Clinical Social Worker | 8426541459 | Practice locations: Stamford, CT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6904 | CT | MD | Physician Assistant |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
566 Newfiled Ave
Suite 9
Stamford, CT 06905-3300
Phone (914) 306-5850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1043074800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 NEWFIELD AVE APT 9",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053300",
"telephone_number": "804-363-0621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 NEWFIELD AVE APT 9",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053300",
"telephone_number": "804-363-0621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOMIS",
"first_name": "SUSAN",
"middle_name": "P",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "6904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.