RICHARD SUSNER III LISW
NPI 1225425960
Social Worker - Clinical in Fairfield, OH

Active since April 21, 2015PECOS EnrolledAccepts Medicare Assignment
1251 NILLES RD STE 5, FAIRFIELD, OH 45014(513) 939-0300(513) 939-0310 Get Directions Write a Review

NPPES record last updated: October 30, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Richard Susner Iii Lisw NPPES

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

RICHARD SUSNER III LISW (NPI 1225425960) is an individual clinical provider in Fairfield, Ohio, licensed in Ohio (I.1302885) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1225425960
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRICHARD SUSNER IIICredential: LISW
Location Address1251 NILLES RD STE 5Fairfield, OH 45014-7205
Mailing Address1251 Nilles Rd Ste 5Fairfield, OH 45014-7205 · (513) 939-0300 · Fax (513) 939-0310
Fax(513) 939-0310
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 21, 2015
Last NPPES UpdateOctober 30, 2017
✔ NPI 1225425960 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 OH · I.1302885
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.
1251 NILLES RD STE 5, Fairfield, OH 45014

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard Susner Iii Lisw 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 ID9830407378
PECOS Enrollment IDI20151001002307, I20181030002518
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Richard Susner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
12910 SHELBYVILLE RD STE 300
Louisville, KY 40243
  • Reassigned Medicare billing, Kentucky enrollment
  • 47 clinicians in this Medicare group
Counselor
1169 EASTERN PKWY STE 3328
Louisville, KY 40217
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 201 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 45014 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Counselor (Professional)
1251 NILLES RD STE 5
FAIRFIELD, OH 45014
Counselor (Professional)
1251 NILLES RD STE 5
FAIRFIELD, OH 45014
Counselor (Professional)
1251 NILLES RD STE 5
FAIRFIELD, OH 45014
Counselor (Professional)
1251 NILLES RD STE 5
FAIRFIELD, OH 45014
Social Worker (Clinical)
1251 NILLES RD STE 5
FAIRFIELD, OH 45014
Counselor (Professional)
1251 NILLES RD STE 5
FAIRFIELD, OH 45014
Counselor
1251 NILLES RD STE 5
FAIRFIELD, OH 45014
Counselor (Mental Health)
1251 NILLES RD STE 5
FAIRFIELD, OH 45014

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 Richard Susner's NPI number?

The NPI number for Richard Susner is 1225425960. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Richard Susner located?

Richard Susner practices at 1251 Nilles Rd Ste 5, Fairfield, OH 45014. The listed phone number is (513) 939-0300.

What is Richard Susner's specialty?

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

Is Richard Susner enrolled in Medicare?

Yes. Richard Susner 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.

Which organizations bill Medicare for Richard Susner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Susner reassigns Medicare benefits to 2 organizations: 360care Services Of Kentucky LLC (Louisville, KY) and Kentucky Counseling Center, LLC (Louisville, KY). Each 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 Richard Susner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Susner accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare, MedMutual and Molina Healthcare and 3 other insurers list Richard Susner 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 Richard Susner was last updated on October 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.