Individual provider Active NPI

Susan E Bartak, LCSW

  • Social Worker
  • Wesley Chapel, FL
National Provider Identifier
1821317447
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2653 Bruce B Downs Blvd Ste 108a
Wesley Chapel, FL 33544-9211
Phone
(717) 461-5705
NPI assigned
May 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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 Primary

Addresses

Primary practice location

2653 Bruce B Downs Blvd Ste 108a
Wesley Chapel, FL 33544-9211

Mailing address

33953 Field Maple Loop
Wesley Chapel, FL 33545-5377
Phone (407) 625-1014

Other practice location 1

313 W Liberty St Ste 228
Lancaster, PA 17603-2791
Phone (717) 537-9470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130607000561 PA Practitioner - Clinical Social Worker 5698913341 Reassigns benefits to 1 organization
I20250227002580 FL Practitioner - Clinical Social Worker 5698913341 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince May 22, 2025 Accepting new patients
Arbor Creek Counseling, LLC CurrentSince Feb 14, 2025 Accepting new patients
Heatherstone Counseling Services, LLC PastSince Jan 19, 2020 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2653 Bruce B Downs Blvd
Ste 108A
Wesley Chapel, FL 33544
Phone (561) 629-4239

313 W Liberty St
Ste 228
Lancaster, PA 17603
Phone (717) 208-2149

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1821317447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33953 FIELD MAPLE LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335455377",
            "telephone_number": "407-625-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 BRUCE B DOWNS BLVD STE 108A",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335449211",
            "telephone_number": "717-461-5705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 W Liberty St Ste 228",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032791",
            "country_code": "US",
            "telephone_number": "717-537-9470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTAK",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.