Suzanne H. Kersten, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-05378 Issued in NM

Practice address

10701 Lomas Blvd NE
Suite 204
Albuquerque, NM 87112-5463

Phone

(505) 550-9255

Fax

(505) 298-4900

NPI assigned

Nov 27, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194891614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 LOMAS BLVD NE",
            "address_2": "SUITE 204",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125463",
            "telephone_number": "505-550-9255",
            "fax_number": "505-298-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 LOMAS BLVD NE",
            "address_2": "SUITE 204",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125463",
            "telephone_number": "505-550-9255",
            "fax_number": "505-298-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSTEN",
        "first_name": "SUZANNE",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-05378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "NM101656",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05624274",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "353463",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Charles Kerschen, DMD
• Jeremy Richard Kersey, PA-C
• Brian Christopher Kersh, PH.D.
• Elizabeth Anne Kershner, LCSW
• Kersten Counseling Center, LLC
• Audra Kerwin
• Gabriela Kerwin
• Rahsan Keskin
• Denece Kesler
• Ilene Kesler, CNP

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.