Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA SUSSEK
Active Sole ProprietorSAMANTHA SUSSEK is a Clinical Social Worker healthcare provider located in RANDOLPH, Wisconsin. NPI 1013278548 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · RANDOLPH, WI
Registration Details
- NPI Number
- 1013278548
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2012 (14.19672442274 yrs)
- Last Updated
- Sep 15, 2020
- License
-
9059-123 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
169 STARK STRANDOLPH, WI, 539561298Browse WI providers · Browse ZIP 53956
- Phone
- 6084236636
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.