Individual provider Active NPI

Susan Rivchun Lager, LICSW

  • Clinical Social Worker
  • Portsmouth, NH
National Provider Identifier
1609917616
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
202 Issued in NH
Practice address
118 Maplewood Ave
Building a
Portsmouth, NH 03801-3787
Phone
(603) 431-7131
Fax
(603) 439-4113
NPI assigned
Feb 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 202 NH Primary

Addresses

Primary practice location

118 Maplewood Ave
Building a
Portsmouth, NH 03801-3787

Mailing address

270 Rollingwood Rd
Eliot, ME 03903-1525
Phone (207) 439-3330

Other identifiers 2

IdentifierTypeStateIssuer
1400525Y0NH01OtherNHPROVIDER ID# ANTHEMBCBS
613214400OtherMAFEDERAL WORKER'S COMPENSATION PROGRAM

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
202NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Couples Center, PLLC Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1609917616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 ROLLINGWOOD RD",
            "city": "ELIOT",
            "state": "ME",
            "postal_code": "039031525",
            "telephone_number": "207-439-3330",
            "fax_number": "207-439-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAPLEWOOD AVE",
            "address_2": "BUILDING A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013787",
            "telephone_number": "603-431-7131",
            "fax_number": "603-439-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGER",
        "first_name": "SUSAN",
        "middle_name": "RIVCHUN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID# ANTHEMBCBS",
            "identifier": "1400525Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKER'S COMPENSATION PROGRAM",
            "identifier": "613214400",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.