NPI 1013091719

David Susanin, LCSW

Practitioner Clinical Social Worker Hartford, CT

Practice location

Address: 500 Vine St, Hartford, CT 06112-1639
Phone: (860) 297-0810
Fax: (860) 293-6356
Mailing address: 424 Brimfield Rd, Wethersfield, CT 06109-3206

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 004901 (CT)

Other Social Worker providers in Connecticut →

Registry record

NPI: 1013091719
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.