Susan Marie Walsh, LICSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

ISW00716 Issued in RI

Practice address

42 Spring St
Suite 13
Newport, RI 02840-2979

Phone

(401) 842-0009

Fax

(401) 842-0059

NPI assigned

Jan 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Susan Marie Walsh Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Karen Gieseke, PHD & Associates Inc.

  dba Comprehensive Psychological Services

  • Psychologist
  • Bristol, RI
  • NPI 1134203573
  NPD (past)

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316095508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KAY ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402835",
            "telephone_number": "401-846-4587",
            "fax_number": "401-846-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SPRING ST",
            "address_2": "SUITE 13",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402979",
            "telephone_number": "401-842-0009",
            "fax_number": "401-842-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "RI",
            "license": "ISW00716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WALSH",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Volk, D.O.
• Audrey Constance Voss, D.O.
• Lisa Vu, DMD
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2885)
• Bernard Walls
• Walter Roettinger, M.D., Inc.
• Alison Monds Ward, MD
• Catherine Webb
• Joseph Benjamin Weiss, MD
• Nina Franziska Weiss, LMHC

• Professional Counselor in Newport, RI
• Providers in Newport, RI by specialty
• Professional Counselor 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.