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SAMANTHA SUSSEK
NPI 1013278548
Social Worker - Clinical in Randolph, WI

Active since May 31, 2012PECOS EnrolledAccepts Medicare Assignment
169 STARK ST, RANDOLPH, WI 53956(608) 423-6636 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2020, Feb 25, 2020, Feb 18, 2020 and 1 more (4 updates tracked since 2019).

About Samantha Sussek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA SUSSEK (NPI 1013278548) is an individual clinical provider in Randolph, Wisconsin, licensed in Wisconsin (9059-123) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1013278548
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA SUSSEK
Location Address169 STARK STRandolph, WI 53956-1298
Mailing Address169 Stark StRandolph, WI 53956-1298 · (608) 423-6636
Phone(608) 423-6636
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 31, 2012
Last NPPES UpdateSeptember 15, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
✔ NPI 1013278548 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 WI · 9059-123
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.
169 STARK ST, Randolph, WI 53956
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Sussek is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123438314
PECOS Enrollment IDI20201028002986
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 53956 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WITHIN REACH LLC
Social Worker (Clinical)
169 STARK ST
RANDOLPH, WI 53956
Dodge County (608) 423-6636

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 Samantha Sussek's NPI number?

The NPI number for Samantha Sussek is 1013278548. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Where is Samantha Sussek located?

Samantha Sussek practices at 169 Stark St, Randolph, WI 53956. The listed phone number is (608) 423-6636.

What is Samantha Sussek's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Samantha Sussek enrolled in Medicare?

Yes. Samantha Sussek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Sussek accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Quartz and UnitedHealthcare list Samantha Sussek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Sussek was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.