Active NPI
Larry M Shushansky, LICSW
- Clinical Social Worker
- Lincoln, RI
National Provider Identifier
1891747960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW00391
- Practice address
- 6 Wilbur Rd
Lincoln, RI 02865-5114 - Phone
- (401) 829-1209
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW00391 | RI | Primary |
Addresses
Primary practice location
6 Wilbur Rd
Lincoln, RI 02865-5114
Mailing address
6 Wilbur Rd
Lincoln, RI 02865-5114
Phone (401) 829-1209
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407868 | Other | RI | BLUE CHIP PROVIDER # |
| 30328-8 | Other | RI | BLUE SHIELD PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210222000298 | RI | Practitioner - Clinical Social Worker | 7416362686 | Practice locations: Lincoln, RI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Tennessee, HSC, College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6 Wilbur Rd
Lincoln, RI 02865-5114
Phone (401) 829-1209
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": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1891747960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WILBUR RD",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028655114",
"telephone_number": "401-829-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 WILBUR RD",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028655114",
"telephone_number": "401-829-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUSHANSKY",
"first_name": "LARRY",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW00391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP PROVIDER #",
"identifier": "407868",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER #",
"identifier": "30328-8",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.