Active NPI
Caitlin Scott Sussman, LGSW
- Social Worker
- Morgantown, WV
National Provider Identifier
1891161253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- BP00944359
- Practice address
- 341 Spruce St
Morgantown, WV 26505-5504 - Phone
- (304) 292-8234
- Fax
- (304) 292-0133
- NPI assigned
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | BP00944359 | WV | Primary |
Addresses
Primary practice location
341 Spruce St
Morgantown, WV 26505-5504
Mailing address
341 Spruce St
Morgantown, WV 26505-5504
Phone (304) 292-8234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP00944359 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1891161253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 SPRUCE ST",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265055504",
"telephone_number": "304-292-8234",
"fax_number": "304-292-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 SPRUCE ST",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265055504",
"telephone_number": "304-292-8234",
"fax_number": "304-292-0133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSSMAN",
"first_name": "CAITLIN",
"middle_name": "SCOTT",
"name_prefix": "Ms.",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "BP00944359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.