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

Sussan Lee Goldsworthy

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1346843182

Sussan Lee Goldsworthy is a Nurse Practitioner in Frederick, Maryland. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2020
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Practice location Address checks out

6811 Ballenger Run Blvd
Frederick, MD 21703
Phone: (478) 225-7590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 257763 (MD)

Record details

NPI number1346843182
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 16, 2020
Last updated in NPPESJuly 12, 2023
Certification dateJuly 5, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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