Individual provider Active NPI

Susannah Sherman, LICSW

  • Clinical Social Worker
  • Manchester, NH
National Provider Identifier
1366168239
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5725 Issued in NH
Practice address
148 Coolidge Ave
Manchester, NH 03102-3493
Phone
(603) 883-0005
Fax
(603) 883-0007
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW20481 FL
Clinical Social Worker 1041C0700X 5725 NH Primary

Addresses

Primary practice location

148 Coolidge Ave
Manchester, NH 03102-3493

Mailing address

14254 Dr Martin Luther King Jr Blvd
Dover, FL 33527-4414
Phone (813) 653-6100

Other practice location 1

14254 Dr Martin Luther King Jr Blvd
Dover, FL 33527-4414
Phone (813) 653-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20250814002799 NH Practitioner - Clinical Social Worker 4082082722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc Clinical CurrentSince Aug 25, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

5 Chenell Dr
Ste 110
Concord, NH 03301

24 Front St
Exeter, NH 03833
Phone (603) 772-3900

77 Gilcreast Rd
Ste 3000
Londonderry, NH 03053
Phone (603) 434-0190

Organizations & group practices 1

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": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1366168239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14254 DR MARTIN LUTHER KING JR BLVD",
            "city": "DOVER",
            "state": "FL",
            "postal_code": "335274414",
            "telephone_number": "813-653-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 COOLIDGE AVE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023493",
            "telephone_number": "603-883-0005",
            "fax_number": "603-883-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14254 Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "FL",
            "postal_code": "335274414",
            "country_code": "US",
            "telephone_number": "813-653-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "SUSANNAH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20481",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "5725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.