MS. SUSAN ELIZABETH HOGAN (NPI# 1902119589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902119589 |
| Entity Type | Individual |
| Full Name | MS. SUSAN ELIZABETH HOGAN |
| Credential | LCSW |
| Practice Address |
79 Beacon St Waterbury CT 06704-3424 |
| Mailing Address |
141 E Main St Fl 4 Waterbury CT 06702-2310 |
| Practice Telephone | 2035749000 |
| Practice Fax Number | 2035749006 |
| Mailing Telephone | 2035749000 |
| Mailing Fax Number | 2035749006 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2018-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
006294 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICARE/UBH WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | UNITED HEALTHCARE/UBH WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | PENDING | 05 | |
| CT | OXFORD HEALTH/FREEDOM PLAN-UBH WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | MHN MANAGED HEALTH NETWORK | 475346 PENDING | 01 |
| CT | MHN TRICARENORTH | 475346 PENDING | 01 |
| CT | AETNA BEHAVIORAL HEALTH WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | OPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | CAQH | 12149987 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
| 1609299338 | Susan Hogan | Occupational Therapist | 2600 Bartels Rd, Cincinnati, OH 45244-4009 | 2014-01-31 |
| 1821384470 | Susan H. Hogan | Speech-Language Pathologist | 3120 Green Terrace Dr, Billings, MT 59102-0632 | 2011-06-22 |
| 1649452681 | Susan M. Hogan | Counselor | 2118 Tucker St, Apt. C, Dallas, TX 75214-6176 | 2007-12-01 |
| 1285154989 | Susan Hogan | Counselor | 718 Columbia St, Newport, KY 41071-1837 | 2017-06-23 |
| 1306284823 | Susan Hogan | Family Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2013-06-06 |
| 1508028408 | Susan Rae Hogan | Pathology | 751 S Bascom Ave, Pathology Dept, San Jose, CA 95128-2604 | 2008-07-01 |
| 1588836316 | Susan I Hogan | Dentist | 32 Barkley Cir, Fort Myers, FL 33907-7530 | 2008-04-01 |
| 1598958423 | Susan Hogan | Speech-Language Pathologist | 1175 Oglethorpe Ave, B, Athens, GA 30606-2129 | 2007-08-23 |
| 1467403428 | Susan Chase Hogan | Audiologist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2006-05-15 |
| Street Address |
79 BEACON ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06704-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801069901 | Ann T. Cook | Social Worker | 79 Beacon St, Waterbury, CT 06704-3424 | 2008-04-09 |
| 1427655083 | Sri Johnson | Student in an Organized Health Care Education/Training Program | 79 Beacon St, Waterbury, CT 06704-3424 | 2020-10-07 |
| 1306453816 | Taylor Ohayon | Student in an Organized Health Care Education/Training Program | 79 Beacon St, Waterbury, CT 06704-3424 | 2020-09-29 |
| 1457965618 | Keyanna Wright | Student in an Organized Health Care Education/Training Program | 79 Beacon St, Waterbury, CT 06704-3424 | 2020-09-04 |
| 1811509102 | Katherine Rodriguez | Student in an Organized Health Care Education/Training Program | 79 Beacon St, Waterbury, CT 06704-3424 | 2020-08-19 |
| 1932755931 | Gena Orten | Student in an Organized Health Care Education/Training Program | 79 Beacon St, Waterbury, CT 06704-3424 | 2019-08-15 |
| 1861989808 | Rachel Carriera | Counselor | 79 Beacon St, Waterbury, CT 06704-3424 | 2018-04-16 |
| 1801398078 | Kimberly Bellonio | Community Health Worker | 79 Beacon St, Waterbury, CT 06704-3424 | 2018-03-05 |
| 1437662210 | Ileana Maldonado | Counselor | 79 Beacon St, Waterbury, CT 06704-3424 | 2017-11-15 |
| 1093167173 | Dainette Lynch | Community Health Worker | 79 Beacon St, Women and Childrens Program, Waterbury, CT 06704-3424 | 2016-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436757 | John Franco Deleo | Physical Therapist | 8 S Commons Road, Waterbury, CT 06704 | 2020-08-07 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1801446554 | George Ahyia Osae Jr. | Physician Assistant | 67 Buckland Dr, Waterbury, CT 06704 | 2019-09-16 |
| 1730629551 | Camille Lois Thomas | Licensed Practical Nurse | 64 Santoro St, Waterbury, CT 06704 | 2017-02-27 |
| 1083925689 | Allan Majeski | Speech-Language Pathologist | 100 Blueridge Drive Extension, Waterbury, CT 06704 | 2010-06-29 |
| 1417273384 | Michael Augustine | Marriage & Family Therapist | 678 Chase Parkway, Waterbury, CT 06704 | 2010-04-16 |
| 1750606000 | Cheryl Lynn Wilson | Social Worker | 103 Kara Drive, Waterbury, CT 06704 | 2010-03-30 |
| 1821212101 | Cesar Augusto Pascal | Dentist | Waterbury Dental Care P.C., 558 Chase Avenue, Waterbury, CT 06704 | 2007-04-11 |
| 1639204688 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 8 South Commons Road, Waterbury, CT 06704 | 2007-02-22 |
| 1053850578 | Erica Jo Cracco | Pharmacist | 240 Chase Ave, Waterbury, CT 06704 | 2017-02-16 |
| Find all providers in zip 06704 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786072 | Cassandra Lynn Manger | Social Worker | 255 Bank St, Waterbury, CT 06702-2219 | 2020-09-29 |
| 1033720198 | Jacqueline A Roscoe | Social Worker | 115 Kara Dr, Waterbury, CT 06704-1573 | 2020-08-12 |
| 1477195386 | Mayte Stephanie Robalino | Social Worker | 96 Dikeman St, Waterbury, CT 06704-3905 | 2019-10-11 |
| 1144874819 | Chantell Paris | Social Worker | 98 Dikeman St, Waterbury, CT 06704-3905 | 2019-07-30 |
| 1720563976 | Aubry Fappiano | Social Worker | 800 Country Club Rd, Waterbury, CT 06708-3240 | 2018-10-03 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1093252090 | Miranda Jones | Social Worker | 135 Roseland Ave, Waterbury, CT 06710-1411 | 2017-01-27 |
| 1447792833 | Carla L. Guglielmo | Social Worker | 422 Highland Ave, Waterbury, CT 06708-3443 | 2016-11-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1437554573 | Megan O'connor | Social Worker | 203 Eastside Blvd, Waterbury, CT 06706-2847 | 2014-10-31 |
| Find all providers in WATERBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.