HEATHER WAGNER SUSI NPI 1083562490

NPI Information

  • NPI: 1083562490
  • Provider Name: HEATHER WAGNER SUSI
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 772 W THAMES ST
    NORWICH, CT
    ZIP 06360
  • Phone: (860) 800-0244

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NPI Details

Heather Wagner Susi is an addiction (substance use disorder) counselor in Norwich, CT. Heather Wagner Susi NPI is 1083562490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

772 W THAMES ST
NORWICH, CT
ZIP 06360-070
Phone: (860) 800-0244
Fax: (860) 885-0224

The enumeration date for this NPI number is 3/20/2026 and was last updated on 3/20/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)0665CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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