Individual provider Active NPI

Susan B. Garfield, LISCW, ACSW

  • Clinical Social Worker
  • Minnetonka, MN
National Provider Identifier
1003826348
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19220 Issued in MN
Practice address
11900 Wayzata Blvd
Ste 209
Minnetonka, MN 55305-2031
Phone
(952) 746-7894
Fax
(952) 746-7895
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC4325000 NJ
Clinical Social Worker 1041C0700X 19220 MN Primary

Addresses

Primary practice location

11900 Wayzata Blvd
Ste 209
Minnetonka, MN 55305-2031

Mailing address

11900 Wayzata Blvd
Ste 209
Minnetonka, MN 55305-2031
Phone (952) 746-7894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081216000649 MN Practitioner - Clinical Social Worker 6608816228 Practice locations: Plymouth, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3131 Fernbrook LN N
Suite 102
Plymouth, MN 55447-5336
Phone (952) 746-7894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC4325000NJMDClinical Social Worker
19220MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Initiatives, LLC PastSince Oct 1, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1003826348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 WAYZATA BLVD",
            "address_2": "STE 209",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052031",
            "telephone_number": "952-746-7894",
            "fax_number": "952-746-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 WAYZATA BLVD",
            "address_2": "STE 209",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052031",
            "telephone_number": "952-746-7894",
            "fax_number": "952-746-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARFIELD",
        "first_name": "SUSAN",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "LISCW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC4325000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.