Samantha Sussek
Samantha Sussek is a Clinical Social Worker in Randolph, Wisconsin. Qualified in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 14
- Licensed in
- WI
- In the registry since
- 2012
Practice location Address checks out
169 Stark StRandolph, WI 53956-1298
Phone: (608) 423-6636
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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 9059-123 (WI) |
|---|
Record details
| NPI number | 1013278548 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 31, 2012 |
| Last updated in NPPES | September 15, 2020 |
| Certification date | September 15, 2020 |
| Mailing address | 169 Stark St, Randolph, WI 53956-1298 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Randolph
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Within Reach LLC
169 Stark St, Randolph, WI 53956-1298 · (608) 423-6636