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

Richard Susner III, LISW

Individual provider Clinical Social Worker · NPI 1225425960

Richard Susner III, LISW is a Clinical Social Worker in Fairfield, Ohio. Qualified in 2002, 24 years ago. Practices with Kentucky Counseling Center LLC, a 59-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
24
Licensed in
OH
In the registry since
2015
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Phone: (513) 939-0300
Fax: (513) 939-0310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.1302885 (OH)

Record details

NPI number1225425960
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedApril 21, 2015
Last updated in NPPESOctober 30, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Kentucky Counseling Center Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairfield