Susannah Margaret Hart Stephens, LICSW, SUDP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LW61492248 Issued in WA

Practice address

18490 Suquamish Way NE
Suquamish, WA 98392-9532

Phone

(360) 394-8558

Fax

(360) 598-1724

NPI assigned

May 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suquamish TribalGroup PAC ID 3173975893, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Suquamish Tribal

  dba Suquamish Wellness Center

  • Adult Mental Health Clinic/Center
  • Suquamish, WA
  • NPI 1083747216

  Addiction (Substance Use Disorder), TX

  Medicare reassignment Care Compare group NPD
• Suquamish Tribal

  dba Suquamish Medical Clinic

  • Family Medicine Physician
  • Suquamish, WA
  • NPI 1114674942
  NPD
• Volunteers of America Inc.

  dba Volunteers Of America Of Oregon Inc.

  • Contractor
  • Portland, OR
  • NPI 1376611418
  NPD (past)

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1639558885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18490 SUQUAMISH WAY NE",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983929532",
            "telephone_number": "360-394-8558",
            "fax_number": "360-598-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18490 SUQUAMISH WAY NE",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983929532",
            "telephone_number": "360-394-8558",
            "fax_number": "360-598-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART STEPHENS",
        "first_name": "SUSANNAH",
        "middle_name": "MARGARET",
        "credential": "LICSW, SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60672681",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW61492248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206507",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Diane Clayton-Kaster
• Rodney J Dwyer, LMP
• Kristine Kelley Ewing, MD
• Jonathan Glover, MSW
• Anna Joy Gottlieb
• Barbara L Hoffman, DNP, RN, CDE
• Britania Raquel Ison, SUDP; LMFTA; LMHCA
• Grace Jones, AAS
• Casey Kernan, DO
• Alexander C Kraft, ND, LAC

• Mental Health Counselor in Suquamish, WA
• Providers in Suquamish, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.