Susan Nilsen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006322 Issued in CT

Practice address

199 Ethan Allen Hwy
Ridgefield, CT 06877-6212

Phone

(203) 423-2226

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 17, 2024 through Oct 17, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• CPC Associates Inc

  • Adult Mental Health Clinic/Center
  • Danbury, CT
  • NPI 1538275169
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1720162894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 ETHAN ALLEN HWY",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068776212",
            "telephone_number": "203-423-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 ETHAN ALLEN HWY",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068776212",
            "telephone_number": "203-423-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSEN",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Lice Treatment, LLC
• Nickalos L. Peterson, D.C.,P.C.
• Nicole Gabriel, LLC
• Nicole Steen, LCSW, LLC
• Nightingale Organization for Behavioral Services LLC
• Karen P Nordberg, MD
• Heather Noriega
• Nu, LLC
• Nutmeg Psychiatry Inc
• Nutritional and Behavioral Care

• Clinical Social Worker in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.