Organization Active NPI

Susan Doerflinger MSW LCSW Sac LLC

  • Clinical Social Worker
  • Mequon, WI
National Provider Identifier
1013585876
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUSAN DOERFLINGER MSW LCSW SAC LLC
Practice address
1001 W Glen Oaks LN Ste 105
Mequon, WI 53092-3369
Phone
(414) 258-8314
Fax
(414) 270-1031
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Susan Doerflinger Sturdevant, MSW LCSWNPI 1710092960
Title
Owner
Phone
(414) 258-8314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1001 W Glen Oaks LN Ste 105
Mequon, WI 53092-3369

Mailing address

1001 W Glen Oaks LN Ste 105
Mequon, WI 53092-3369
Phone (414) 258-8314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210712001656 WI Part B Supplier - Clinic/Group Practice 7911309158 Receives reassigned benefits from 1 practitioner
Practice locations: Mequon, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1013585876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W GLEN OAKS LN STE 105",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923369",
            "telephone_number": "414-258-8314",
            "fax_number": "414-270-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W GLEN OAKS LN STE 105",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923369",
            "telephone_number": "414-258-8314",
            "fax_number": "414-270-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN DOERFLINGER MSW LCSW SAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "STURDEVANT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DOERFLINGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-258-8314",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.