Susan Diane Reusser, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003845A Issued in IN

Practice address

2121 Lake Ave
VA-Nihcs
Ft Wayne, IN 46805-5100

Phone

(260) 426-5431

Fax

(260) 460-1481

NPI assigned

May 5, 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 names 1

• Mrs. Susan Diane Reusser Nee Trick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1609825934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL DRIVE SUITE 280",
            "address_2": "STV HCS-HCHV BLUFFCREEK TOWERS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-616-9915",
            "fax_number": "210-616-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 LAKE AVE",
            "address_2": "VA-NIHCS",
            "city": "FT WAYNE",
            "state": "IN",
            "postal_code": "468055100",
            "telephone_number": "260-426-5431",
            "fax_number": "260-460-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUSSER",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003845A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "REUSSER NEE TRICK",
            "middle_name": "DIANE",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Retina Institute of Indiana Surgery Center, LLC
• Retina Institute of Indiana, P.C.
• Philip A Rettenmaier, DO
• Andrew Reum II
• Hugh Fredrick Reusser, MSW
• Lucas Reust
• Revivd Recovery and Wellness Fort Wayne LLC
• Alyssa Kindred Rex, AUD
• Claire Reyes
• Kara Reyes, DPT

• Clinical Social Worker in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.