MRS. SUSAN ANN DUCKETT (NPI# 1295397149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295397149 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN ANN DUCKETT |
| Practice Address |
19 Robinson Rd Clinton NY 13323-1418 |
| Practice Telephone | 3158536090 |
| Practice Fax Number | 3158533190 |
| Mailing Telephone | 3158536090 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379968 | Susan Duckett | Technician | 524 Ridge St, Keyser, WV 26726-2524 | 2020-09-03 |
| Street Address |
19 ROBINSON RD |
| City | CLINTON |
| State | NY |
| Zip Code | 13323-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568607042 | Building Blocks Learning Center, LLC | Early Intervention Provider Agency | 19 Robinson Rd, Clinton, NY 13323-1418 | 2008-12-11 |
| 1619574373 | Liliya Silchuk | Speech-Language Pathologist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2020-10-06 |
| 1588277446 | Tori Weaver | Student in an Organized Health Care Education/Training Program | 19 Robinson Rd, Clinton, NY 13323-1418 | 2020-08-28 |
| 1326674284 | Carol Mcqueary | Case Manager/Care Coordinator | 19 Robinson Rd, Clinton, NY 13323-1418 | 2020-03-22 |
| 1013555465 | Meghan Mary Mortensen | Occupational Therapist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-12-17 |
| 1780226191 | Heather Anne Valyou | Case Manager/Care Coordinator | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-10-17 |
| 1881242014 | Sophia Laposta | Student in an Organized Health Care Education/Training Program | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-08-30 |
| 1780230391 | Melissa Margadona | Specialist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-08-11 |
| 1881257533 | Laurie Anne Ducharme | Case Manager/Care Coordinator | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-04-18 |
| 1609439538 | Brittany Teal | Occupational Therapist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603881 | Dynamic Chiropractic and Physical Therapy Pllc | Clinic/Center | 7883 Seneca Turnpike, Clinton, Clinton, NY 13323 | 2020-03-09 |
| 1558736413 | John Alexander Nasrinpay | Physical Therapist | 7883 Seneca Turnpike, Clinton, NY 13323 | 2015-12-03 |
| 1518216043 | Lesley Vella | Speech-Language Pathologist | 2 East Park Row, Clinton, NY 13323 | 2012-08-30 |
| 1649329087 | Marsette A Vona Dmd PC | Dentist | 5 South Park Row, Clinton, NY 13323 | 2007-01-08 |
| 1366557084 | Donna R Kapes | Social Worker | 2 Williams St, Clinton, NY 13323 | 2006-08-21 |
| 1386697464 | Kristin M Dempsey | Nurse Practitioner | 110 Utica Road, Clinton, NY 13323 | 2006-05-18 |
| 1700417201 | Cornwell Ave Physical Therapy PC | Clinic/Center | 7883 Seneca Turnpike, Clinton, NY 13323 | 2020-02-03 |
| 1770705782 | Thomas Richard Carone | Chiropractor | 1 Kirkland Ave, Suite 101, Clinton, NY 13323 | 2007-05-02 |
| 1427195023 | Sharon P. Dicks | Nurse Practitioner | 198 College Hill Rd, Tb Rudd Health Center, Clinton, NY 13323 | 2007-01-31 |
| 1215009105 | Nancy Rayne | Registered Nurse | 7325 State Route 5, Clinton, NY 13323 | 2006-11-15 |
| Find all providers in zip 13323 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
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|---|---|---|---|---|
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| 1073121976 | Jackson Kerry England | Case Manager/Care Coordinator | 512 S 9th St, Clinton, OK 73601-4430 | 2020-07-16 |
| 1053945717 | Shannon Gautier | Case Manager/Care Coordinator | 209 Huntington Hill Dr, Clinton, MS 39056-6322 | 2020-03-02 |
| 1770124729 | Heart 2 Heart Industries | Case Manager/Care Coordinator | 1623 W 600 N, Clinton, UT 84015-8470 | 2019-10-01 |
| 1164079281 | Amber Dawn Cox | Case Manager/Care Coordinator | 1206 Orient Ave, Clinton, OK 73601-2756 | 2019-08-22 |
| 1982262101 | Timothy Cook | Case Manager/Care Coordinator | 604 Highway 80 W Ste Roffice2, Clinton, MS 39056-4108 | 2019-06-03 |
| 1487111902 | Leslie Washington | Case Manager/Care Coordinator | 9508 Plank Rd Ste C, Clinton, LA 70722-3701 | 2019-02-21 |
| 1841768009 | Khaila Nicoll Mitchell | Case Manager/Care Coordinator | 423 S 15th St, Clinton, OK 73601-4207 | 2018-11-06 |
| 1689169831 | Jordyn Taylor Laughlin | Case Manager/Care Coordinator | 2962 Serfass Rd, Clinton, OH 44216-9369 | 2018-06-28 |
| 1588160741 | United Care Homes | Case Manager/Care Coordinator | 11001 Sweet Gum Way, Clinton, MD 20735-3934 | 2018-04-04 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.