Individual provider Active NPI

Susan J McAninch, MSW

  • Clinical Social Worker
  • Sturgeon Bay, WI
National Provider Identifier
1124007349
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6742-123 Issued in WI
Practice address
20 S 1St Ave
Sturgeon Bay, WI 54235-2546
Phone
(920) 746-0162
Fax
(920) 746-0140
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 6742-123 WI Primary

Addresses

Primary practice location

20 S 1St Ave
Sturgeon Bay, WI 54235-2546

Mailing address

20 S 1St Ave
Sturgeon Bay, WI 54235-2546
Phone (920) 746-0162

Other identifiers 1

IdentifierTypeStateIssuer
43569800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6742-123WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124007349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S 1ST AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352546",
            "telephone_number": "920-746-0162",
            "fax_number": "920-746-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S 1ST AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352546",
            "telephone_number": "920-746-0162",
            "fax_number": "920-746-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANINCH",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6742-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43569800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.