Dianna M Susitti, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

349123 Issued in WI

Practice address

7330 W Layton Ave
Milwaukee, WI 53220-3849

Phone

(414) 877-4570

Fax

(262) 228-6257

NPI assigned

Sep 25, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

American Behavioral Clinics SCGroup PAC ID 7517937964, 46 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

35.83 of 100Reported as group

Quality

9.6

Promoting interoperability

0

Improvement activities

0

Cost

76.51

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• American Behavioral Clinics, SC

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1144313859
  Medicare reassignment Care Compare group NPD
• Cary J Kohlenberg MD SC

  dba Independent Psychiatric Consultants Mental Health Center

  • Psychiatry Physician
  • Waukesha, WI
  • NPI 1952487506
  Medicare reassignment NPD

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1477653533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD",
            "address_2": "# 202",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53188",
            "telephone_number": "262-513-0700",
            "fax_number": "262-513-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 W LAYTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532203849",
            "telephone_number": "414-877-4570",
            "fax_number": "262-228-6257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2717 N Grandview Blvd",
            "address_2": "# 202",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "53188",
            "country_code": "US",
            "telephone_number": "262-513-0700",
            "fax_number": "262-513-0707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Dousman",
            "state": "WI",
            "postal_code": "531188912",
            "country_code": "US",
            "telephone_number": "414-877-4570",
            "fax_number": "262-797-2814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUSITTI",
        "first_name": "DIANNA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "349123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21300600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Susac, OT
• Christa R Susai, DPT
• Susan M. Dellutri, LLC
• Susan Wasserman LLC
• Chanta Susberry, REGISTERED NURSE
• John David Suson, M.D.
• Travis Suss, PHARMD
• Joleen Carol Sussman, PH.D.
• Katia Sustayta Castro
• Saul M Suster, MD

• Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.