Individual provider Active NPI

Susan M Rohr, LSW

  • Social Worker
  • Ottawa, IL
National Provider Identifier
1174699599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1100 E Norris Drive
Choices Cho
Ottawa, IL 61350-3678
Phone
(815) 431-5694
Fax
(815) 431-5299
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

1100 E Norris Drive
Choices Cho
Ottawa, IL 61350-3678

Mailing address

1100 E Norris Drive
Choices Cho
Ottawa, IL 61350-3678
Phone (815) 433-5606

Other names 1

  • Susan Barnett Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150804003511 IL Practitioner - Clinical Social Worker 5799099826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW150009011ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174699599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E NORRIS DRIVE",
            "address_2": "CHOICES CHO",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503678",
            "telephone_number": "815-433-5606",
            "fax_number": "815-431-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E NORRIS DRIVE",
            "address_2": "CHOICES CHO",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503678",
            "telephone_number": "815-431-5694",
            "fax_number": "815-431-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHR",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BARNETT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ottawa, IL

Sources for this page

Verify at the official NPI Registry.