Individual provider Active NPI

Susan Nyden, LCSW

  • Clinical Social Worker
  • Lewes, DE
National Provider Identifier
1902319858
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q10001568 Issued in DE
Practice address
20684 John J Williams Hwy Ste 4
Lewes, DE 19958-4393
Phone
(302) 827-6040
NPI assigned
Nov 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X Q10001568 DE Primary

Addresses

Primary practice location

20684 John J Williams Hwy Ste 4
Lewes, DE 19958-4393

Mailing address

4 Roberts Rd
Lewes, DE 19958-9795
Phone (301) 233-3902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20180216001210 DE Practitioner - Clinical Social Worker 5991065765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Services of DelawareGroup PAC ID 4082643739, 21 clinicians

Practice addresses (Care Compare)

20684 John J Williams Hwy
Suite 4
Lewes, DE 19958-4393
Phone (302) 478-9411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q10001568DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Services of Delaware Clinical CurrentSince Jan 1, 2018 Accepting new patients

Locations

20684 John J Williams Hwy
Ste 4
Lewes, DE 19958
Phone (302) 478-9411

99 Passmore Rd
Wilmington, DE 19803
Phone (302) 478-9411

Organizations & group practices 1

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": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1902319858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROBERTS RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199589795",
            "telephone_number": "301-233-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20684 JOHN J WILLIAMS HWY STE 4",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584393",
            "telephone_number": "302-827-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYDEN",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10001568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.