Individual provider Active NPI

Suzanne Janice Webb, LLMSW

  • Clinical Social Worker
  • Hillsdale, MI
National Provider Identifier
1174955934
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095668 Issued in MI
Practice address
150 Spring St
Hillsdale, MI 49242-1122
Phone
(209) 470-7305
NPI assigned
Aug 4, 2013
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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 6801095668 MI Primary

Addresses

Primary practice location

150 Spring St
Hillsdale, MI 49242-1122

Mailing address

150 Spring St
Hillsdale, MI 49242-1122
Phone (209) 470-7305

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.embodiedwellnesstherapy.com/contact-us Embodied Wellness, PLLC

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
6801095668MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hannah's Hope: Christian Infertility and Adoption Counseling, PLLC Clinical Current Accepting new patients
Emerge Mental Health, LLC Clinical Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1174955934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SPRING ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421122",
            "telephone_number": "209-470-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SPRING ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421122",
            "telephone_number": "209-470-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "SUZANNE",
        "middle_name": "JANICE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-04",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.embodiedwellnesstherapy.com/contact-us",
            "affiliation": "Y",
            "endpointDescription": "Secure Website",
            "affiliationName": "Embodied Wellness, PLLC",
            "address_1": "28475 Greenfield Rd Ste 113",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480763034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.