Individual provider Active NPI

Susan Spears, LMSW

  • Clinical Social Worker
  • Jenison, MI
National Provider Identifier
1013665652
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801066895 Issued in MI
Practice address
3480 Bauer Rd
Jenison, MI 49428-9443
Phone
(616) 669-8229
NPI assigned
Mar 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801066895 MI Primary

Addresses

Primary practice location

3480 Bauer Rd
Jenison, MI 49428-9443

Mailing address

3480 Bauer Rd
Jenison, MI 49428-9443
Phone (616) 669-8229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260401001589 MI Practitioner - Clinical Social Worker 0547745150 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

2845 44TH St SW
Suite 120
Grandville, MI 49418-2678
Phone (616) 669-8229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801066895MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Anew Counseling LLC Clinical CurrentSince Aug 10, 2025 Accepting new patients

Locations

2845 44th St SW
Ste 120
Grandville, MI 49418
Phone (616) 260-5615

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": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1013665652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 BAUER RD",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289443",
            "telephone_number": "616-669-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 BAUER RD",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289443",
            "telephone_number": "616-669-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "SUSAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801066895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenison, MI

Sources for this page

Verify at the official NPI Registry.