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EMILY WYNN SUSSMAN LCSW
NPI 1508330754
Social Worker - Clinical in South Bend, IN

Active since January 21, 2019PECOS EnrolledAccepts Medicare Assignment
227 N DIXIE WAY STE 125, SOUTH BEND, IN 46637(574) 276-7306(574) 566-1236 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2026, Jan 21, 2019 (2 updates tracked since 2019).

About Emily Wynn Sussman Lcsw NPPES

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

EMILY WYNN SUSSMAN LCSW (NPI 1508330754) is an individual clinical provider in South Bend, Indiana, licensed in Indiana (34008383A) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508330754
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEMILY WYNN SUSSMANCredential: LCSW
Location Address227 N DIXIE WAY STE 125South Bend, IN 46637-3385
Mailing Address52389 Windover LnGranger, IN 46530-9081 · (508) 524-1790
Phone(574) 276-7306
Fax(574) 566-1236
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 21, 2019
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1508330754 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 IN · 34008383A
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.
227 N DIXIE WAY STE 125, South Bend, IN 46637
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Other Identifiers 1

Medicaid300128471IN

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

Emily Wynn Sussman Lcsw 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 ID345725065
PECOS Enrollment IDI20260331003100
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 46637 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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 Emily Sussman's NPI number?

The NPI number for Emily Sussman is 1508330754. It was assigned to this individual provider in the NPPES registry on January 21, 2019.

Where is Emily Sussman located?

Emily Sussman practices at 227 N Dixie Way Ste 125, South Bend, IN 46637. The listed phone number is (574) 276-7306.

What is Emily Sussman's specialty?

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

Is Emily Sussman enrolled in Medicare?

Yes. Emily Sussman 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.

When was this NPI record last updated?

The NPPES record for Emily Sussman was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.