Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emily Wynn Sussman, LCSW

Individual provider Clinical Social Worker · NPI 1508330754

Emily Wynn Sussman, LCSW is a Clinical Social Worker in South Bend, Indiana. Qualified in 2016, 10 years ago. Practices with Saint Joseph Regional Medical Center Inc, a 141-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

227 N Dixie Way Ste 125
South Bend, IN 46637-3385
Phone: (574) 276-7306
Fax: (574) 566-1236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 60101 Bodnar Blvd Ste 100b, Mishawaka, IN 46544-9340 — (574) 335-8500

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34008383A (IN)

Record details

NPI number1508330754
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 21, 2019
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Saint Joseph Regional Medical Center Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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