Active NPI
Suzanne Marie Hennessey, LCSW
- Clinical Social Worker
- Hollywood, FL
National Provider Identifier
1972556090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 4560
- Practice address
- 901 S 62ND Ave
Hollywood, FL 33023-1848 - Phone
- (954) 893-0109
- Fax
- (954) 893-9750
- NPI assigned
- May 18, 2006
- Sex
- Female
- 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 | SW 4560 | FL | Primary |
Addresses
Primary practice location
901 S 62ND Ave
Hollywood, FL 33023-1848
Mailing address
624 Still Meadows Circle
North
Palm Harbor, FL 34683-5141
Phone (727) 787-1000
Other names 1
- Suzanne Marie Tripka
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 4560 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Primary Care, Inc. | Past | Accepting new patients | |
| Palm Harbor Spine Center Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Palm Harbor, FL
- NPI 1194755439
-
- Chiropractor
- New Port Richey, FL
- NPI 1194904870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1972556090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 STILL MEADOWS CIRCLE",
"address_2": "NORTH",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346835141",
"telephone_number": "727-787-1000",
"fax_number": "727-771-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S 62ND AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330231848",
"telephone_number": "954-893-0109",
"fax_number": "954-893-9750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNESSEY",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 4560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "TRIPKA",
"middle_name": "MARIE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.