Susan S. Erstling, PH.D., LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ICSW00693 Issued in RI

Practice address

55 Hope St
C/O Family Service of Rhode Island
Providence, RI 02906-2001

Phone

(401) 331-1350

Fax

(401) 277-3366

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235141946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 JOHN ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403108",
            "telephone_number": "401-331-1350",
            "fax_number": "401-277-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HOPE ST",
            "address_2": "C/O FAMILY SERVICE OF RHODE ISLAND",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062001",
            "telephone_number": "401-331-1350",
            "fax_number": "401-277-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERSTLING",
        "first_name": "SUSAN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D., LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ICSW00693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP GROUP NUMBER",
            "identifier": "1021740",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SE14183",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "22215-6",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "407771",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allan Douglas Erickson, M.D.
• Peter Gregory Erickson, PH.D.
• Debra A Ericksonowens, CNM
• Shannon Marie Erisman, PHD
• Ernest P. Votolato, D.M.D. & Frank a. Pazienza, D.D.S., Inc.
• Samantha Dianne Erwin, RN
• Luis Anthony Escobar, CADC, LCDP
• Jessica Eskander, MD
• Jeanne Kathleen Esler, PH.D.
• Nocif Joseph Espat

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.