Active NPI
Susan M Rohr, LSW
- Social Worker
- Ottawa, IL
National Provider Identifier
1174699599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150804003511 | IL | Practitioner - Clinical Social Worker | 5799099826 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW150009011 | IL | MD | Social 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.