Susan Resnick, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW03021 Issued in RI

Practice address

1220 Kingstown Rd
Wakefield, RI 02879-7909

Phone

(401) 789-9390

NPI assigned

Aug 7, 2024

Last updated

Aug 7, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SKR Psychotherapy, LLC

  • Clinical Social Worker
  • Providence, RI
  • NPI 1417743402
  NPD Authorized official
• Galilee Mission

  • Substance Abuse Rehabilitation Facility
  • Narragansett, RI
  • NPI 1639638331
  NPD

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1366272908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CAMDEN RD",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028822123",
            "telephone_number": "617-697-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 KINGSTOWN RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028797909",
            "telephone_number": "401-789-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "SUSAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW03021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen H Redding, PT
• Dontrice Redmon, CERTIFIED DOULA
• Krista Munsell Reid, PT
• Kimberly Dexter Remington
• Richard Renzi, MD
• Revitalized LLC (Revitalized Specialty Infusion Services)
• Bruce Rexrode, M.S.
• Griffin Kane Reynolds, MD
• Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy # 02065)
• Rhode Island Emergency Physicians

• Clinical Social Worker in Wakefield, RI
• Providers in Wakefield, 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 Aug 7, 2024; 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.