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SUSAN NILSEN LCSW
NPI 1720162894
Social Worker - Clinical in Ridgefield, CT

Active since October 25, 2006Opted out of Medicare · through Oct 17, 2026
199 ETHAN ALLEN HWY, RIDGEFIELD, CT 06877(203) 423-2226 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Nilsen Lcsw NPPES

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

SUSAN NILSEN LCSW (NPI 1720162894) is an individual clinical provider in Ridgefield, Connecticut, licensed in Connecticut (006322) and active in the NPI registry since October 2006. She has opted out of Medicare through October 17, 2026.

NPPES Registry Identity

NPI1720162894
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN NILSENCredential: LCSW
Location Address199 ETHAN ALLEN HWYRidgefield, CT 06877-6212
Mailing Address199 Ethan Allen HwyRidgefield, CT 06877-6212 · (203) 423-2226
Phone(203) 423-2226
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateJune 30, 2020
NPPES CertifiedJune 30, 2020
✔ NPI 1720162894 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 CT · 006322
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.
199 ETHAN ALLEN HWY, Ridgefield, CT 06877
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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 Nilsen Lcsw 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 October 17, 2024 through October 17, 2026.

Opt-Out Effective DateOctober 17, 2024
Opt-Out In Effect ThroughOctober 17, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

THRIVE PSYCHOTHERAPY, LLC
Counselor (Professional)
199 ETHAN ALLEN HWY
RIDGEFIELD, CT 06877
Western Connecticut Planning Region (203) 803-2787
SERENE MIND PSYCHIATRY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
199 ETHAN ALLEN HWY
RIDGEFIELD, CT 06877
Western Connecticut Planning Region (203) 297-8228
DEBORAH CHRABOLOWSKI LPC
Counselor (Professional)
199 ETHAN ALLEN HWY
RIDGEFIELD, CT 06877
Western Connecticut Planning Region (203) 807-6668
THRIVE NUTRITION OF CT, LLC
Dietitian, Registered
199 ETHAN ALLEN HWY
RIDGEFIELD, CT 06877
Western Connecticut Planning Region (914) 320-3197

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 Susan Nilsen's NPI number?

The NPI number for Susan Nilsen is 1720162894. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Susan Nilsen located?

Susan Nilsen practices at 199 Ethan Allen Hwy, Ridgefield, CT 06877. The listed phone number is (203) 423-2226.

What is Susan Nilsen's specialty?

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

Is Susan Nilsen enrolled in Medicare?

No. Susan Nilsen has opted out of Medicare through October 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Susan Nilsen was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.