MS. SUSAN KING (NPI# 1386736643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386736643 |
| Entity Type | Individual |
| Full Name | MS. SUSAN KING |
| Credential | MSW |
| Practice Address |
616 Gold Star Highway Groton CT 06340 |
| Mailing Address |
6 Wequetequock Passage Pawcatuck CT 06379-2032 |
| Practice Telephone | 8604490200 |
| Practice Fax Number | 8604491954 |
| Mailing Telephone | 8602353266 |
| Mailing Fax Number | 8605990100 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1041C0700X |
Social Worker Specialization: Clinical |
000457 | CT | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 000268 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780069013 | Susan King | Counselor | 1600 Lena St Ste C8, Santa Fe, NM 87505-4338 | 2015-07-28 |
| 1194121798 | Susan King | Nurse Practitioner | 28018 11th Ave E, Roy, WA 98580-9565 | 2014-11-08 |
| 1508120858 | Susan Swan King | Social Worker | 901 Lawrence St, Sanford, NC 27330-3331 | 2012-07-02 |
| 1821350596 | Susan A King | Pharmacist | 95 New Brunswick Ave # 101, Perth Amboy, NJ 08861-2294 | 2012-06-08 |
| 1124355052 | Susan Cooley King | Nurse Practitioner | 9 Greenway Plaza, Suite 2950, Houston, TX 77046 | 2009-11-13 |
| 1790969566 | Susan Anne King | Acupuncturist | 303 Aspen Business Center Ste A, Aspen, CO 81611-3500 | 2007-12-28 |
| 1972705127 | Susan E King | Social Worker | 541 Sr 664 N Suite C, Logan, OH 43138 | 2007-06-01 |
| 1982741963 | Susan Ragsdale King | Physical Therapist | 1350 Ashley River Rd, Suite B, Charleston, SC 29407-5373 | 2007-01-31 |
| 1669459327 | Susan C King | Family Medicine | 1907 Cypress Creek Rd, Suite 104, Cedar Park, TX 78613-4150 | 2005-12-23 |
| 1952925497 | Susan Lynn King | Dental Hygienist | 2530 Colorado Ave Ste A, Durango, CO 81301-4760 | 2020-06-01 |
| Street Address |
616 GOLD STAR HIGHWAY |
| City | GROTON |
| State | CT |
| Zip Code | 06340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093926800 | Shoreline Counseling Associates, LLC | Counselor | 616 Gold Star Highway, Groton, CT 06340 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851942403 | Healing House Counseling, LLC | Social Worker | 500 Bridge St Ste B, Groton, CT 06340-3781 | 2019-09-25 |
| 1770051930 | Melissa Manzi | Social Worker | 84 Paquawket Path, Groton, MA 01450-1034 | 2018-11-06 |
| 1922583723 | Christine Ann Conway | Social Worker | 78 Hollis St, Groton, MA 01450-1357 | 2018-09-27 |
| 1427530922 | Robin E Young | Social Worker | 22 Adams Ave, Groton, MA 01450-1242 | 2018-08-30 |
| 1659874394 | Catherine Giroux, Lcsw L.l.c | Social Worker | 10 Fort Hill Rd Lot 1, Groton, CT 06340-4723 | 2018-03-08 |
| 1679011605 | Rashaad Carter | Social Worker | 212 Thames St, Suite A, Groton, CT 06340-3632 | 2017-02-10 |
| 1720371370 | Sarah Angela Pereira | Social Worker | 4 Fort Hill Rd, Groton, CT 06340-4723 | 2011-05-16 |
| 1043515422 | Lighthouse Counseling | Social Worker | 611a Long Hill Rd, Groton, CT 06340-4138 | 2011-01-17 |
| 1790092716 | Jessica Wolber | Social Worker | 10 Fort Hill Rd Unit 1, Groton, CT 06340-4723 | 2010-09-13 |
| 1174793731 | Jane Shustin | Social Worker | 493 A Main St, Mill Run Plaza, Groton, MA 01450 | 2008-03-10 |
| Find all providers in GROTON | ||||
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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.