Catherine Cusack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0134468 Issued in VT

Practice address

10 Mending Walls Rd
Manchester Center, VT 05255-9738

Phone

(201) 716-9328

NPI assigned

Aug 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Generations Counseling & Care Management LLC

  • Mental Health Counselor
  • Rochelle Park, NJ
  • NPI 1437109311
  Medicare reassignment NPD
• Cassandra Reid LLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1396110060
  Medicare reassignment
• Sherman Counseling and Consulting, Inc.

  • Clinical Social Worker
  • Rochelle Park, NJ
  • NPI 1306167457
  NPD (past)

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1295289965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MENDING WALLS RD",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559738",
            "telephone_number": "201-716-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MENDING WALLS RD",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559738",
            "telephone_number": "201-716-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSACK",
        "first_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05639800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083645-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Cerza, PHARM. D.
• Chiropractic Care Center Inc
• Kathryn Clover, LICSW
• Confluence Psychotherapy PLC
• Counseling for Solutions, LLC
• Roseanne Marie Dennan, DC
• John Michael Diblasio, PT, DPT, MPT
• Michael Dreiblatt, LMHC
• Equinox Compounding Pharmacy
• Equinox Dental PLC

• Clinical Social Worker in Manchester Center, VT
• Providers in Manchester Center, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.