Susan Blair Bliss, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005154 Issued in CT

Practice address

95 Rising Ridge Rd
Ridgefield, CT 06877-5818

Phone

(203) 241-3478

NPI assigned

Jan 2, 2023

Last updated

Jan 2, 2023By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1801509112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 RISING RIDGE RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068775818",
            "telephone_number": "203-241-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 RISING RIDGE RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068775818",
            "telephone_number": "203-241-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISS",
        "first_name": "SUSAN",
        "middle_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Meredith Bergenfeld, DDS
• Alan M Berman, O.D.
• Edward R Berman, M.D.
• Janelle Marie Bessette, PH.D.
• Christian E Bilius
• Justine M Block, SLP
• Cassidy Ann Bluhm, RN, BSN, CBC
• Vicki Sara Blumberg, M.D.
• Megan Songul Bodeur, PT
• Alex Boianghu

• 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 Jan 2, 2023; 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.