Susan Lipman Henry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004197 Issued in CT

Practice address

35 Nutmeg LN
Fairfield, CT 06824-3909

Phone

(203) 258-8627

Fax

(203) 259-3338

NPI assigned

Apr 13, 2019

Last updated

Apr 13, 2019By the provider in NPPES

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

Enrolled in CT

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Seagull Counseling & Therapy LLC

  • Clinical Social Worker
  • Fairfield, CT
  • NPI 1831652064
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1555113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555113600000",
    "number": "1730642935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NUTMEG LN",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243909",
            "telephone_number": "203-258-8627",
            "fax_number": "203-259-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NUTMEG LN",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243909",
            "telephone_number": "203-258-8627",
            "fax_number": "203-259-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SUSAN",
        "middle_name": "LIPMAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-13",
        "last_updated": "2019-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanni Heller-Ram, L.AC
• Susan J Helwig, LCSW
• Charles Gerakd Hemenway II, MD
• Theodore Hendrickson
• Brian J. Henninger, N.D.
• Kathryn Hepp
• Her Transformation OBGYN, PLLC (Her Transformation OBGYN)
• Joseph Herbin, MD
• Monica Heredia, PTA
• Roseanne M Herlihy, MS OTR/L

• Clinical Social Worker in Fairfield, CT
• Providers in Fairfield, 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 Apr 13, 2019; 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.