Susan Diane Couch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008837 Issued in NC

Practice address

4718 Highgate Dr
Durham, NC 27713-9489

Phone

(919) 695-3189

Fax

(866) 347-8377

NPI assigned

Mar 31, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Harmony Within Mental Health PLLC

  • Clinical Social Worker
  • Aberdeen, NC
  • NPI 1912474271
  Medicare reassignment NPD Authorized official
• Jennifer a. Hanley, DNP, PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Pinehurst, NC
  • NPI 1720335326
  NPD (past)
• Serenity Mental and Medical Care PLLC

  • Family Nurse Practitioner
  • Aberdeen, NC
  • NPI 1225504608
  NPD (past)

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

{
    "created_epoch": "1364688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1154664928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 HIGHGATE DRIVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139489",
            "telephone_number": "919-695-3189",
            "fax_number": "866-347-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4718 HIGHGATE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139489",
            "telephone_number": "919-695-3189",
            "fax_number": "866-347-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-31",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernell Cotton
• Ethan Joseph Cottrill, MD,PHD
• Haley Bush Cottrill, MD
• Shauntil Couch-Bah, FNP
• Christopher Evan Couch, PA-C
• Ryan Phillip Coughlin
• Krista Nicole Coulter, OTR/L
• Counseling Services, Inc.
• Country Cobbler, LTD.
• County of Durham Finance Dept

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.

Verify at the official NPI Registry.