Individual provider Active NPI

Susanne M Weil, LCSW

  • Social Worker
  • Stamford, CT
National Provider Identifier
1790846970
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
003095 Issued in CT
Practice address
666 Glenbrook Rd
#2C
Stamford, CT 06906-1439
Phone
(203) 327-4239
Fax
(203) 655-3813
NPI assigned
Dec 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 003095 CT Primary

Addresses

Primary practice location

666 Glenbrook Rd
#2C
Stamford, CT 06906-1439

Mailing address

18 Sedgwick Village Lane
Darien, CT 06820-4601
Phone (203) 656-9692

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100716000255 CT Practitioner - Clinical Social Worker 5799817342 Practice locations: Stamford, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18 Sedgewick Village Lane
Darien, CT 06820-4601

666 Glenbrook Rd
Suite 2C
Stamford, CT 06906-1439
Phone (203) 327-4239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790846970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SEDGWICK VILLAGE LANE",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204601",
            "telephone_number": "203-656-9692",
            "fax_number": "203-655-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 GLENBROOK RD",
            "address_2": "#2C",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061439",
            "telephone_number": "203-327-4239",
            "fax_number": "203-655-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIL",
        "first_name": "SUSANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "003095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.