Ewa Susman, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.014816 Issued in IL

Practice address

1022 Forest Ave
Oak Park, IL 60302-1312

Phone

(708) 704-6951

NPI assigned

Jan 21, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1205259686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 FOREST AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021312",
            "telephone_number": "708-704-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 FOREST AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021312",
            "telephone_number": "708-704-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSMAN",
        "first_name": "EWA",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "28924",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faraz Sultan, M.D., PH.D.
• Summit Foot and Ankle Center P.C.
• Surgical Associates of Oak Park and River Forest SC
• Ana Milena Sury, O.D
• Ammu Thampi Susheela
• Kirsten Tesnar Svejda, PSYD
• Angela Swain, PHD, LSW
• Eleanor Swanson
• Kurt Swanson, M.D.
• Robert J. Swanson, PH.D.

• Clinical Social Worker in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.