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MS. SUSANNE ANNETTE SHORT LICSW
NPI 1639349020
Social Worker - Clinical in Jemez Springs, NM

Active since March 03, 2008PECOS EnrolledAccepts Medicare Assignment
17482 HIGHWAY 4, JEMEZ SPRINGS, NM 87025(612) 505-2694 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 3, 2022, Oct 2, 2022, Sep 16, 2022 and 1 more (4 updates tracked since 2022).

About Ms. Susanne Annette Short Licsw NPPES

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

MS. SUSANNE ANNETTE SHORT LICSW (NPI 1639349020) is an individual clinical provider in Jemez Springs, New Mexico, licensed in New Mexico (2022-0084) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1639349020
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SUSANNE ANNETTE SHORTCredential: LICSW
Location Address17482 HIGHWAY 4Jemez Springs, NM 87025-8702
Mailing AddressPo Box 573Jemez Springs, NM 87025-0573 · (612) 505-2694
Phone(612) 505-2694
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 3, 2008
Last NPPES UpdateOctober 3, 20224 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1639349020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NM · 2022-0084✔ Licensed in CO · 09928374✔ Licensed in MN · 14543
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.
17482 HIGHWAY 4, Jemez Springs, NM 87025
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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 and accepts Medicare assignment

Ms. Susanne Annette Short Licsw 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 ID7810352481
PECOS Enrollment IDI20230518002563
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 87025 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 $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

SSHORT COUNSELING LLC
Social Worker (Clinical)
17482 HIGHWAY 4
JEMEZ SPRINGS, NM 87025
Sandoval County (612) 505-2694

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 Susanne Short's NPI number?

The NPI number for Susanne Short is 1639349020. It was assigned to this individual provider in the NPPES registry on March 3, 2008.

Where is Susanne Short located?

Susanne Short practices at 17482 Highway 4, Jemez Springs, NM 87025. The listed phone number is (612) 505-2694.

What is Susanne Short's specialty?

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

Is Susanne Short enrolled in Medicare?

Yes. Susanne Short 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 Susanne Short was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.