Active NPI
Susan A Rynkiewicz, LCSW LADC
- Addiction (Substance Use Disorder) Counselor
- Bristol, CT
National Provider Identifier
1457323511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000710
- Practice address
- 440 D North Main St
Bristol, CT 06010 - Phone
- (860) 314-2052
- Fax
- (860) 314-2054
- NPI assigned
- Feb 3, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000710 | CT | Primary |
| Clinical Social Worker | 1041C0700X | 005916 | CT |
Addresses
Primary practice location
440 D North Main St
Bristol, CT 06010
Mailing address
PO Box 2828
Bristol, CT 06011
Phone (860) 585-3906
Other names 1
- Susan A Grasso
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005916 | CT | MD | Professional Counselor |
| 000710 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Hospital Multi-Specialty Group, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Bristol, CT
- NPI 1396734109
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1457323511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2828",
"city": "BRISTOL",
"state": "CT",
"postal_code": "06011",
"telephone_number": "860-585-3906",
"fax_number": "860-585-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 D NORTH MAIN ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "06010",
"telephone_number": "860-314-2052",
"fax_number": "860-314-2054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYNKIEWICZ",
"first_name": "SUSAN",
"middle_name": "A",
"credential": "LCSW LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "000710",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005916",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "GRASSO",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.