Susan Wasserman LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

426-123 Issued in WI

Legal business name

SUSAN WASSERMAN LLC

Practice address

2932 N Hackett Ave
Milwaukee, WI 53211-3442

Phone

(414) 961-0649

NPI assigned

Mar 18, 2010

Last updated

Mar 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan WassermanNPI 1871652230

Title

Owner

Phone

(414) 961-0649

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Wasserman, MSW

  • Clinical Social Worker
  • Shorewood, WI
  • NPI 1871652230
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1477877595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 N HACKETT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 N HACKETT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113442",
            "telephone_number": "414-961-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN WASSERMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-961-0649",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "426-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Michael Suriano, D.O.
• Vladimir Suric
• Holly Susac, OT
• Christa R Susai, DPT
• Susan M. Dellutri, LLC
• Chanta Susberry, REGISTERED NURSE
• Dianna M Susitti, LCSW
• John David Suson, M.D.
• Travis Suss, PHARMD
• Joleen Carol Sussman, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.