| Susannah Margaret Hart Stephens, LICSW, SUDP | |
|
18490 Suquamish Way Ne, Suquamish, WA 98392-9532 | |
| (360) 394-8558 | |
| (360) 598-1724 |
| Full Name | Susannah Margaret Hart Stephens |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 18490 Suquamish Way Ne, Suquamish, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639558885 | NPI | - | NPPES |
| 2206507 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60672681 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | LW61492248 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Suquamish Tribal | 3173975893 | 7 |
| Entity Name | Suquamish Tribal |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083747216 PECOS PAC ID: 3173975893 Enrollment ID: O20240216001062 |
| Mailing Address | Practice Location Address |
|---|---|
| Susannah Margaret Hart Stephens, LICSW, SUDP 18490 Suquamish Way Ne, Suquamish, WA 98392-9532 Ph: (360) 394-8558 | Susannah Margaret Hart Stephens, LICSW, SUDP 18490 Suquamish Way Ne, Suquamish, WA 98392-9532 Ph: (360) 394-8558 |
Robin Lee Nielsen, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392 Phone: 360-394-8558 Fax: 360-598-1724 | |
Dolores Mcconaghy, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392 Phone: 360-394-8550 Fax: 360-598-1724 | |
Ms. Raeann M. Vantrojen, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392 Phone: 360-394-8599 Fax: 360-598-1724 | |
Sarah Sense-wilson, Counselor Medicare: Medicare Enrolled Practice Location: 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392 Phone: 360-394-8558 | |
Jennifer Lynette Thurston, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18914 Angeline Ave Ne, Suquamish, WA 98392 Phone: 360-994-0348 | |
Martha Jo Mitchell-colby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18513 Augusta Avenue, Suquamish, WA 98392 Phone: 360-394-8558 Fax: 360-598-1724 | |
Robin Sigo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392 Phone: 360-394-8558 Fax: 360-598-1724 |