Susan Benner, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9108 Issued in CT

Practice address

132 E Putnam Ave Ste 22
Cos Cob, CT 06807-2724

Phone

(914) 834-9015

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

Yes

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.

• Benner Psychotherapy LLC

  • Community/Behavioral Health Agency
  • Cos Cob, CT
  • NPI 1770346124
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 5, 2023 through Apr 5, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

• Susan Lobosco Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2024.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1487783460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068070079",
            "telephone_number": "914-834-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E PUTNAM AVE STE 22",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072724",
            "telephone_number": "914-834-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "SUSAN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043583-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LOBOSCO",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Barber, PT
• Bartel R. Crisafi, MD
• Karen Elaine Beckman, M.D.
• Michael Beecher, DPT
• Benner Psychotherapy LLC
• Orly Berkoff, M.S., CCC-SLP
• Sonia N/a Binfoh, RPH
• Meryl Brownstein, O.D.
• Bruce Molinelli MD LLC
• Annette Buckley, RN

• All providers in Cos Cob, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.