Jeston A Sussman, LCSW
Social Worker, Clinical in Hartford, Connecticut
1629549001- Practice location
- 660 Prospect Ave, Hartford, CT 06105-4230
- Phone
- 860-729-3284
- Fax
- —
- Last updated
- December 11, 2018
Jeston Anne Sussman is a Social Worker, Clinical based in Hartford, CT. Jeston Anne Sussman practices in Hartford, CT and has the professional credentials of LCSW. The NPI Number for Jeston Anne Sussman is 1629549001 and holds a License No. 010115 (CT). The current practice location address for Jeston Anne Sussman is 660 Prospect Ave, Hartford, CT 06105-4230 and can be reached out via phone at 860-729-3284.
Provider Profile Details
- NPI Number
- 1629549001
- Provider Name
- Jeston Anne Sussman
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 660 Prospect Ave, Hartford, CT 06105-4230
- Phone Number
- 860-729-3284
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 11, 2018
- Last Update Date
- December 11, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 660 Prospect Ave
Hartford, CT 06105-4230 - City
- Hartford
- State
- Connecticut
- Zip
- 06105-4230
- Phone Number
- 860-729-3284
Provider Business Mailing Address Details
- Address
- 169 Lynnwood Dr
Longmeadow, MA 01106-2013 - City
- Longmeadow
- State
- MA
- Zip
- 01106-2013
- Phone Number
- 413-454-7647
License Information
- License Number
- 010115
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jeston A Sussman, LCSW?
The NPI number of Jeston A Sussman, LCSW is 1629549001. It was assigned on December 11, 2018 and is currently active in the NPPES registry.
What is the specialty of Jeston A Sussman, LCSW?
Jeston A Sussman, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 010115.
Where does Jeston A Sussman, LCSW practice?
The practice location is 660 Prospect Ave, Hartford, CT 06105-4230. The office can be reached at 860-729-3284 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629549001 directly on the NPPES registry website.