Organization Active NPI

Suzanne Kresiak LLC

  • Clinical Social Worker
  • Pittsfield, MA
National Provider Identifier
1205461795
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUZANNE KRESIAK LLC
Practice address
25 Henry Ave
Pittsfield, MA 01201-6722
Phone
(413) 358-3551
Fax
(413) 961-5455
NPI assigned
Mar 5, 2020
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Suzanne M Kresiak, LICSWNPI 1992784276
Title
Owner
Phone
(413) 358-3551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

25 Henry Ave
Pittsfield, MA 01201-6722

Mailing address

1872 N Streamline Dr
Virginia Beach, VA 23454-4434
Phone (413) 358-3551

Other practice location 1

1872 N Streamline Dr
Virginia Beach, VA 23454-4434
Phone (413) 358-3551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251223000573 VA Part B Supplier - Clinic/Group Practice 6608205703 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

152 North St
Ste 140
Pittsfield, MA 01201
Phone (413) 358-3551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1205461795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 N STREAMLINE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544434",
            "telephone_number": "413-358-3551",
            "fax_number": "413-961-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HENRY AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016722",
            "telephone_number": "413-358-3551",
            "fax_number": "413-961-5455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1872 N Streamline Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234544434",
            "country_code": "US",
            "telephone_number": "413-358-3551",
            "fax_number": "413-961-5455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUZANNE KRESIAK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "KRESIAK",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-358-3551",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.