SUSAN DAVIS LICSW
NPI 1225844202
Social Worker - Clinical in Burlington, VT

Q: What is Susan Davis's NPI number?

The NPI number for Susan Davis is 1225844202. It was assigned to this individual provider in the NPPES registry on December 5, 2024.

Q: What is Susan Davis's specialty?

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

Q: Is Susan Davis enrolled in Medicare?

No. Susan Davis has opted out of Medicare through June 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Susan Davis was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since December 05, 2024Opted out of Medicare · through Jun 4, 2027

168 BATTERY ST, BURLINGTON, VT 05401(802) 373-3420 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Susan Davis Licsw NPPES

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

SUSAN DAVIS LICSW (NPI 1225844202) is an individual clinical provider in Burlington, Vermont, licensed in Vermont (089.0136259) and active in the NPI registry since December 2024. She has opted out of Medicare through June 4, 2027.

NPPES Registry Identity

NPI1225844202

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSUSAN DAVISCredential: LICSW

Location Address168 BATTERY STBurlington, VT 05401-5285

Mailing Address168 Battery StBurlington, VT 05401-5285 · (802) 373-3420

Phone(802) 373-3420

Sole ProprietorYes

Enumeration DateDecember 5, 2024

NPPES CertifiedDecember 3, 2024

✔ NPI 1225844202 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 VT · 089.0136259

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.

168 BATTERY ST, Burlington, VT 05401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Davis Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 4, 2025 through June 4, 2027.

Opt-Out Effective DateJune 4, 2025

Opt-Out In Effect ThroughJune 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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 $55.80 – $168.48

Typical copayment $0.00 (range $13.95 – $42.12)

Most-billed visit code NA

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

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 9

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

SUNRISE COUNSELING AND WELLNESS

Community/Behavioral Health