Individual provider Active NPI

Susan Rood, LMSW

  • Social Worker
  • Allegan, MI
National Provider Identifier
1114227543
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801079536 Issued in MI
Practice address
551 Linn St
Suite 230
Allegan, MI 49010-1595
Phone
(269) 686-4110
Fax
(269) 686-2135
NPI assigned
Nov 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801079536 MI Primary

Addresses

Primary practice location

551 Linn St
Suite 230
Allegan, MI 49010-1595

Mailing address

551 Linn St
Suite 230
Allegan, MI 49010-1595
Phone (269) 686-4110

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
I20121015000678 MI Practitioner - Clinical Social Worker 4587814215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope and Wholeness Psychology Center LLCGroup PAC ID 6901175082, 18 clinicians

Practice addresses (Care Compare)

503 Century LN
Suite 2
Holland, MI 49423-4318
Phone (616) 795-0298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope & Wholeness Psychology Center, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

503 Century Ln
Ste 2
Holland, MI 49423
Phone (616) 295-8284

1877 Georgetown Center Dr
Jenison, MI 49428
Phone (616) 287-4330

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": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1114227543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 LINN ST",
            "address_2": "SUITE 230",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101595",
            "telephone_number": "269-686-4110",
            "fax_number": "269-686-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 LINN ST",
            "address_2": "SUITE 230",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101595",
            "telephone_number": "269-686-4110",
            "fax_number": "269-686-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOD",
        "first_name": "SUSAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801079536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

Verify at the official NPI Registry.