Susan Mandrachia Killebrew, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW00095 Issued in RI

Practice address

107 Clock Tower Square
Portsmouth, RI 02871

Phone

(401) 683-7600

Fax

(401) 683-5415

NPI assigned

Feb 1, 2008

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

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 and National Provider Directory roles.

• Cayer & Cayer LLP

  • Clinical Nurse Specialist
  • Portsmouth, RI
  • NPI 1003073073
  NPD (past)

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1760660773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CLARKE ST",
            "address_2": "#1",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403047",
            "telephone_number": "401-847-4115",
            "fax_number": "401-847-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CLOCK TOWER SQUARE",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "02871",
            "telephone_number": "401-683-7600",
            "fax_number": "401-683-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEBREW",
        "first_name": "SUSAN",
        "middle_name": "MANDRACHIA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph D. Pianka, MD, Inc.
• Amber Kaltenstein, PSY.D.
• Julie Kaull, RD
• Stephanie Elisabeth Conrad Kelley, M.S. CCC-SLP
• Ian Kelly
• Kara Elizabeth King Barron
• Kings Grant Chiropractic LLC
• Kate Sangster Knight, OT/L
• Misty Beck Kosciusko, D.C
• Randy B Kozel, MD

• Clinical Social Worker in Portsmouth, RI
• Providers in Portsmouth, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.