Individual provider Active NPI

Suzan Dewitt

  • Clinical Social Worker
  • Colebrook, NH
National Provider Identifier
1821517442
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2422 Issued in NH
Practice address
6 First St
Colebrook, NH 03576-3128
Phone
(603) 331-3604
Fax
(307) 323-3953
NPI assigned
Sep 14, 2017
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1217 NH
Clinical Social Worker 1041C0700X 2422 NH Primary

Addresses

Primary practice location

6 First St
Colebrook, NH 03576-3128

Mailing address

25 Ridgewood Dr
Pittsburg, NH 03592-5219
Phone (603) 331-3604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20210216002644 NH Practitioner - Clinical Social Worker 3779998125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Human ServicesGroup PAC ID 3173595931, 27 clinicians

Practice addresses (Care Compare)

55 Colby St
Colebrook, NH 03576-3047
Phone (603) 237-4955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1217NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moonshadow Counseling, LLC Addiction (Substance Use Disorder) CurrentSince Sep 28, 2025 Accepting new patients
Northern Human Services CurrentSince Dec 29, 2020 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Northern Human Services Mental Health PastSince Dec 29, 2020 Accepting new patients

Locations

55 Colby St
Colebrook, NH 03576
Phone (603) 237-4955

6 1st St
Colebrook, NH 03576
Phone (603) 237-4262

87 Washington St
Conway, NH 03818
Phone (603) 447-3347

170 Commerce Way
Portsmouth, NH 03801
Phone (201) 803-8614

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1821517442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RIDGEWOOD DR",
            "city": "PITTSBURG",
            "state": "NH",
            "postal_code": "035925219",
            "telephone_number": "603-331-3604",
            "fax_number": "307-323-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FIRST ST",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763128",
            "telephone_number": "603-331-3604",
            "fax_number": "307-323-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "SUZAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "1217",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colebrook, NH

Sources for this page

Verify at the official NPI Registry.