Individual provider Active NPI

Susan Theresa Dalmoura, LCSW

  • Clinical Social Worker
  • Plantsville, CT
National Provider Identifier
1093273799
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10505 Issued in CT
Practice address
75 Parkview Dr
Plantsville, CT 06479-1933
Phone
(203) 200-8202
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10505 CT Primary

Addresses

Primary practice location

75 Parkview Dr
Plantsville, CT 06479-1933

Mailing address

75 Parkview Dr
Plantsville, CT 06479-1933
Phone (203) 200-8202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10505CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Healing Therapy LLC Clinical CurrentSince Jun 15, 2025 Accepting new patients
The Children'S Center of Hamden, Inc. Past Accepting new patients
The Children'S Center of Hamden, Inc. Past Accepting new patients

Locations

558 Maple Ave
Ste 3
Cheshire, CT 06410
Phone (203) 200-8202

Organizations & group practices 3

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": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1093273799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PARKVIEW DR",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791933",
            "telephone_number": "203-200-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PARKVIEW DR",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791933",
            "telephone_number": "203-200-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALMOURA",
        "first_name": "SUSAN",
        "middle_name": "THERESA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantsville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.