Suzanne I King, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00283 Issued in CT

Practice address

204 Cherry St
Milford, CT 06460-3555

Phone

(203) 876-0545

Fax

(203) 876-0814

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Psychotherapy Center for Children Adults and Families

  • Mental Health Counselor
  • Milford, CT
  • NPI 1831243047

  Clinical

  NPD (past)
• Shoreline Neuropsychiatric Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Guilford, CT
  • NPI 1124569157
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1366477127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603555",
            "telephone_number": "203-876-0545",
            "fax_number": "203-876-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603555",
            "telephone_number": "203-876-0545",
            "fax_number": "203-876-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SUZANNE",
        "middle_name": "I",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "00283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "061431528",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Leddy Kiernan
• Yasemin Kilical, DDS
• Robert Harold Kimball Jr., APRN, FNP-C
• Katherine W. King, M.S.W.
• Marjorie Eliizabeth King, FNP/APRN
• Kinglet Urgent Care Physicians LLC
• Caitlin E Kingston, LCSW
• Harry Kipperman, MD
• Nicole Klarides-Ditria, ATC.L.
• Morgan Ellen Klass, LCSW

• All providers in Milford, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.