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MR. DAVID SUSANIN LCSW
NPI 1013091719
Social Worker - Clinical in Hartford, CT

Active since October 25, 2006PECOS Enrolled
500 VINE ST, HARTFORD, CT 06112(860) 297-0810(860) 293-6356 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1013091719
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DAVID SUSANINCredential: LCSW
Location Address500 VINE STHartford, CT 06112-1639
Mailing Address424 Brimfield RdWethersfield, CT 06109-3206 · (860) 529-9113
Phone(860) 297-0810
Fax(860) 293-6356
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013091719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 004901
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
500 VINE ST, Hartford, CT 06112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Susanin Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. BRIAN T CONOVER PSY.D.
Psychologist
500 VINE ST
HARTFORD, CT 06112
Capitol Planning Region (860) 293-6353
MAYRA SANTIAGO-BURGOS LCSW
Social Worker (Clinical)
500 VINE ST
HARTFORD, CT 06112
Capitol Planning Region (860) 297-0938
MS. ANITA LOWE-CHOA-LEE
Nurse Practitioner (Psychiatric/Mental Health)
500 VINE ST
HARTFORD, CT 06112
Capitol Planning Region (860) 297-0800
MS. ANNETTE SANABRIA L.C.S.W
Social Worker (Clinical)
500 VINE ST, HUMAN RESOURCES
HARTFORD, CT 06112
Capitol Planning Region (860) 297-0935
MRS. GERALDA ZAINALVAND LCSW
Social Worker (Clinical)
500 VINE ST
HARTFORD, CT 06112
Capitol Planning Region (860) 293-6342
MS. MARINA SCIUCCO APRN
Nurse Practitioner (Psychiatric/Mental Health)
500 VINE ST
HARTFORD, CT 06112
Capitol Planning Region (860) 297-0854
DR. KEITH VOMEIGEN M.D.
Internal Medicine
500 VINE ST
HARTFORD, CT 06112
Capitol Planning Region (860) 293-6381
MS. CAROL GRIFFITH RPH
Pharmacist
500 VINE ST
HARTFORD, CT 06112
Capitol Planning Region (860) 297-0910

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.

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.