Individual provider Active NPI

Brittini Lynne Cusson, LICSW, LCSW

  • Clinical Social Worker
  • Lancaster, NH
National Provider Identifier
1043692817
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2461 Issued in NH
Practice address
173 Middle St
Lancaster, NH 03584-3508
Phone
(603) 788-5075
Fax
(603) 788-5285
NPI assigned
Jun 29, 2015
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC17835 ME
Clinical Social Worker 1041C0700X 089.0135743 VT
Clinical Social Worker 1041C0700X 2461 NH Primary

Addresses

Primary practice location

173 Middle St
Lancaster, NH 03584-3508

Mailing address

173 Middle St
Lancaster, NH 03584-3508
Phone (603) 788-5029

Other practice location 1

47 Church St
Groveton, NH 03582-4061
Phone (603) 788-5075

Other practice location 2

7 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 788-5075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20240401002926 NH Practitioner - Clinical Social Worker 8224476981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weeks Medical CenterGroup PAC ID 2769461284, 71 clinicians

Practice addresses (Care Compare)

173 Middle St
Lancaster, NH 03584-3508
Phone (603) 788-4911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC17835MEMDClinical Social Worker
2461NHMDClinical Social Worker
089.0135743VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Weeks Medical Center CurrentSince Feb 18, 2024 Accepting new patients
Weeks Medical Center Current Accepting new patients
Weeks Medical Center CurrentSince Feb 18, 2024 Accepting new patients

Locations

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827

47 Church St
Groveton, NH 03582
Phone (603) 636-1101

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

Organizations & group practices 4

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1043692817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MIDDLE ST",
            "city": "LANCASTER",
            "state": "NH",
            "postal_code": "035843508",
            "telephone_number": "603-788-5029",
            "fax_number": "603-788-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MIDDLE ST",
            "city": "LANCASTER",
            "state": "NH",
            "postal_code": "035843508",
            "telephone_number": "603-788-5075",
            "fax_number": "603-788-5285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Church St",
            "address_purpose": "LOCATION",
            "city": "Groveton",
            "state": "NH",
            "postal_code": "035824061",
            "country_code": "US",
            "telephone_number": "603-788-5075",
            "fax_number": "603-788-5285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Page Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NH",
            "postal_code": "035703531",
            "country_code": "US",
            "telephone_number": "603-788-5075",
            "fax_number": "603-788-5285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSSON",
        "first_name": "BRITTINI",
        "middle_name": "LYNNE",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17835",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0135743",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, NH

Sources for this page

Verify at the official NPI Registry.