Individual provider Active NPI

Melissa Aron Susser, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1477091064
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50081097 Issued in DC
Practice address
4125 Albemarle St NW
Washington, DC 20016-2105
Phone
(224) 628-3108
NPI assigned
Feb 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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 DC
Clinical Social Worker 1041C0700X 50081097 DC Primary

Addresses

Primary practice location

4125 Albemarle St NW
Washington, DC 20016-2105

Mailing address

8800 Harness TRL
Potomac, MD 20854-2555
Phone (224) 628-3108

Other practice location 1

1629 K St NW
Suite 300
Washington, DC 20006-1602
Phone (224) 628-3108

Other names 1

  • Melissa Aron Zimmerman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20210218000780 DC Practitioner - Clinical Social Worker 9830504182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Potomac, MD 20854
Phone (224) 628-3108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50081097DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talk Therapy Potomac LLC Clinical CurrentSince May 1, 2024 Accepting new patients
Iona Senior Services CurrentSince Feb 1, 2021 Accepting new patients

Locations

4125 Albemarle St NW
Washington, DC 20016
Phone (202) 895-9448

Organizations & group practices 2

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": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1477091064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 HARNESS TRL",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542555",
            "telephone_number": "224-628-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 ALBEMARLE ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162105",
            "telephone_number": "224-628-3108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1629 K St NW",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200061602",
            "country_code": "US",
            "telephone_number": "224-628-3108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUSSER",
        "first_name": "MELISSA",
        "middle_name": "ARON",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2021-01-04",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "50081097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "ZIMMERMAN",
            "middle_name": "ARON",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.