Individual provider · Type 1 NPI

Emily Wynn Sussman, LCSW

Clinical Social Worker · South Bend, IN

NPI number 1508330754 Active

Practice location

227 N Dixie Way Ste 125
South Bend, IN 46637-3385

Fax (574) 566-1236

Mailing address

52389 Windover Ln
Granger, IN 46530-9081

Other practice locations

  • 60101 Bodnar Blvd Ste 100B, Mishawaka, IN 46544-9340 · (574) 335-8500

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34008383A (IN)

Clinical Social Worker: 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 interpers…

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About NPI 1508330754

Emily Wynn Sussman, LCSW's National Provider Identifier is 1508330754, issued on Jan 21, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Bend, IN. The record was last updated on Apr 9, 2026.