Individual provider Active NPI

Robert J. Susin, L.C.S.W.

  • Clinical Social Worker
  • La Grange, IL
National Provider Identifier
1700864956
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
521 S la Grange Rd
Suite 209
La Grange, IL 60525-6700
Phone
(708) 822-7437
NPI assigned
Jan 6, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 IL Primary

Addresses

Primary practice location

521 S la Grange Rd
Suite 209
La Grange, IL 60525-6700

Mailing address

521 S la Grange Rd
Suite 209
La Grange, IL 60525-6700
Phone (708) 822-7437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20120208000841 IL Practitioner - Clinical Social Worker 2860659885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

403 N Ashland Ave
La Grange Park, IL 60526-2029
Phone (708) 822-7437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-005102ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Susin PC Clinical CurrentSince Oct 16, 2011 Accepting new patients

Locations

521 S La Grange Rd
Ste 209
La Grange, IL 60525
Phone (708) 822-7437

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700864956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 S LA GRANGE RD",
            "address_2": "SUITE 209",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256700",
            "telephone_number": "708-822-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S LA GRANGE RD",
            "address_2": "SUITE 209",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256700",
            "telephone_number": "708-822-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSIN",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.