AVA SUSSAN LCSW
NPI 1710268131
Social Worker - Clinical in Evergreen Park, IL

Active since August 30, 2011
3759 W 95TH ST, SUITE 3, EVERGREEN PARK, IL 60805(866) 296-5262(708) 636-6852 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ava Sussan Lcsw NPPES

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

AVA SUSSAN LCSW (NPI 1710268131) is an individual clinical provider in Evergreen Park, Illinois, licensed in Illinois (149008560) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1710268131
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAVA SUSSANCredential: LCSW
Location Address3759 W 95TH ST, SUITE 3Evergreen Park, IL 60805-2000
Mailing Address20 N Clark St, Suite 2650Chicago, IL 60602-4109 · (866) 296-5262 · Fax (312) 558-1570
Fax(708) 636-6852
Sole ProprietorNo
Enumeration DateAugust 30, 2011
✔ NPI 1710268131 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 IL · 149008560
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.
3759 W 95TH ST, Evergreen Park, IL 60805

Other Providers at the Same Location NPPES 7

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

Clinic/Center (Radiology, Mobile)
3759 W 95TH ST, SUITE 2
EVERGREEN PK, IL 60805
Counselor (Addiction (Substance Use Disorder))
3759 W 95TH ST, SUITE 3
EVERGREEN PARK, IL 60805
Counselor (Mental Health)
3759 W 95TH ST, SUITE 3
EVERGREEN PARK, IL 60805
Counselor
3759 W 95TH ST, SUITE #3
EVERGREEN PARK, IL 60805
Counselor (Professional)
3759 W 95TH ST, SUITE #3
EVERGREEN PARK, IL 60805
Counselor (Professional)
3759 W 95TH ST, SUITE 3
EVERGREEN PARK, IL 60805
Occupational Therapist
3759 W 95TH ST
EVERGREEN PARK, IL 60805

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 Ava Sussan's NPI number?

The NPI number for Ava Sussan is 1710268131. It was assigned to this individual provider in the NPPES registry on August 30, 2011.

Where is Ava Sussan located?

Ava Sussan practices at 3759 W 95th St Suite 3, Evergreen Park, IL 60805. The listed phone number is (866) 296-5262.

What is Ava Sussan's specialty?

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

When was this NPI record last updated?

The NPPES record for Ava Sussan was last updated on August 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.