Organization Active NPI

Susan Bernstein, LCSW, Licsw, LLC

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1215583521
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUSAN BERNSTEIN, LCSW, LICSW, LLC
Practice address
836 Farmington Ave Ste 221B
West Hartford, CT 06119-1505
Phone
(860) 308-3145
NPI assigned
Aug 13, 2019
Last updated
Aug 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Susan BernsteinNPI 1972781615
Title
LCSW, Licsw
Phone
(860) 308-3145

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 NU Primary

Addresses

Primary practice location

836 Farmington Ave Ste 221B
West Hartford, CT 06119-1505

Mailing address

836 Farmington Ave Ste 221B
West Hartford, CT 06119-1505
Phone (860) 308-3145

Other practice location 1

339 Washington St Ste 203
Dedham, MA 02026-1870
Phone (617) 775-0322

National Provider Directory

National Provider Directory

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": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1215583521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE STE 221B",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191505",
            "telephone_number": "860-308-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE STE 221B",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191505",
            "telephone_number": "860-308-3145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 Washington St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Dedham",
            "state": "MA",
            "postal_code": "020261870",
            "country_code": "US",
            "telephone_number": "617-775-0322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUSAN BERNSTEIN, LCSW, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "LCSW, LICSW",
        "authorized_official_telephone_number": "860-308-3145"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.