Individual provider Active NPI

Susan Weissmann, LCSW

  • Clinical Social Worker
  • Oviedo, FL
National Provider Identifier
1285600163
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3974 Issued in FL
Practice address
1759 W Broadway St
Oviedo, FL 32765-8128
Phone
(407) 977-4335
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW3974 FL Primary

Addresses

Primary practice location

1759 W Broadway St
Oviedo, FL 32765-8128

Mailing address

1759 Cocoplum CT
Longwood, FL 32779-2702
Phone (407) 474-9978

Other identifiers 1

IdentifierTypeStateIssuer
001210500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100712000483 FL Practitioner - Clinical Social Worker 9335271220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1850 Lee Rd
Suite 103
Winter Park, FL 32789-2104
Phone (407) 474-9978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Weissmann, LLC Clinical CurrentSince Feb 24, 2014 Accepting new patients
Jewish Family Services of Greater Orlando Inc PastSince Jun 8, 2016 Accepting new patients

Locations

831 W Morse Blvd
Winter Park, FL 32789
Phone (407) 474-9978

1850 Lee Rd
Ste 103
Winter Park, FL 32789
Phone (407) 310-1818

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1285600163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 COCOPLUM CT",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792702",
            "telephone_number": "407-474-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 W BROADWAY ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658128",
            "telephone_number": "407-977-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMANN",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001210500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.