Active NPI
Susan R Fletcher, MSW LISW
- Clinical Social Worker
- Middletown, OH
National Provider Identifier
1154590818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0009490
- Practice address
- 1036 S Verity Pkwy
Middletown, OH 45044-5513 - Phone
- (513) 454-1111
- NPI assigned
- Feb 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I0009490 | OH | Primary |
Addresses
Primary practice location
1036 S Verity Pkwy
Middletown, OH 45044-5513
Mailing address
210 S 2ND St
Ste 2
Hamilton, OH 45011-2802
Phone (513) 454-1462
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | susanf@myprimaryhealthsolutions.org |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0009490 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butler County Community Health Consortium, Inc. | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Middletown, OH
- NPI 1700821386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1154590818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S 2ND ST",
"address_2": "STE 2",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450112802",
"telephone_number": "513-454-1462",
"fax_number": "513-454-1462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 S VERITY PKWY",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450445513",
"telephone_number": "513-454-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "SUSAN",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "MSW LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0009490",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "susanf@myprimaryhealthsolutions.org",
"affiliation": "N",
"address_1": "1036 S Verity Pkwy",
"city": "Middletown",
"state": "OH",
"country_code": "US",
"postal_code": "450445513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.