Active NPI
Kenneth Howard Susskind, M.S.W.
- Clinical Social Worker
- Keene, NH
National Provider Identifier
1497976922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1161
- Practice address
- 441 Main Street
Keene, NH 03431 - Phone
- (603) 209-7885
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1161 | NH | Primary |
Addresses
Primary practice location
441 Main Street
Keene, NH 03431
Mailing address
81 Terrace Street
Keene, NH 03431
Phone (603) 357-3285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30423240 | Medicaid | NH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meredith Reuter LLC | Clinical | Past | Accepting new patients |
| Mindful Balance Therapy Center P.L.L.C | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Keene, NH
- NPI 1205510500
-
- Marriage & Family Therapist
- Keene, NH
- NPI 1124423975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497976922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 TERRACE STREET",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "603-357-3285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 MAIN STREET",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "603-209-7885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSSKIND",
"first_name": "KENNETH",
"middle_name": "HOWARD",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "1161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30423240",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.