MR. DAVID SUSANIN LCSW
NPI 1013091719
Social Worker - Clinical in Hartford, CT
About Mr. David Susanin Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DAVID SUSANIN LCSW (NPI 1013091719) is an individual clinical provider in Hartford, Connecticut, licensed in Connecticut (004901) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. David Susanin Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show David Susanin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06112
- Reassigned Medicare billing, Connecticut enrollment
- 109 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARTFORD, CT 06112
HARTFORD, CT 06112
HARTFORD, CT 06112
HARTFORD, CT 06112
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is David Susanin's NPI number?
The NPI number for David Susanin is 1013091719. It was assigned to this individual provider in the NPPES registry on October 25, 2006.
Where is David Susanin located?
David Susanin practices at 500 Vine St, Hartford, CT 06112. The listed phone number is (860) 297-0810.
What is David Susanin's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is David Susanin enrolled in Medicare?
Yes. David Susanin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for David Susanin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Susanin reassigns Medicare benefits to State Of Connecticut (Hartford, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Susanin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for David Susanin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. David Susanin, LCSW · NPI 1013091719
Clinical provider in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1013091719 (Entity type: Individual)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 004901 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 500 VINE ST, Hartford, CT 06112-1639
- **Phone:** (860) 297-0810 · **Fax:** (860) 293-6356
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** State Of Connecticut (NPI 1487689022, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1013091719) · Data from the CMS NPPES public registry.