Active NPI
Susan Rebecca Williamson, LSCW
- Clinical Social Worker
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34004763A
- Practice address
- 240 N Tillotson Ave
Muncie, IN 47304-3988 - Phone
- (765) 288-1928
- Fax
- (765) 741-0306
- NPI assigned
- May 18, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34004763A | IN | Primary |
Addresses
Primary practice location
240 N Tillotson Ave
Muncie, IN 47304-3988
Mailing address
240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928
Other names 1
- Susan Rebecca Reid
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OR, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1060 S Main St
Tipton, IN 46072-8327
Phone (574) 722-5151
10967 Allisonville Rd
Suite 240
Fishers, IN 46038-2634
Phone (812) 401-8008
1390 Umpqua Ave
Apt 201
Eugene, OR 97408-6075
Phone (844) 542-5481
4367 Taku Blvd
Juneau, AK 99801-9289
Phone (844) 542-5481
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ah Addiction Care PC | Current | Accepting new patients | |
| Four County Comprehensive Mental Health Center, Inc | Current | Accepting new patients | |
| Four County Comprehensive Mental Health Center Inc | Current | Accepting new patients | |
| Ah Addiction Care of California PC | Past | Accepting new patients |
Locations
721 Depot Dr
Anchorage, AK 99501
Phone (201) 293-7689
303 Twin Dolphin Dr
Ste 6006002
Redwood City, CA 94065
1015 Michigan Ave
Logansport, IN 46947
2355 S Business 31
Peru, IN 46970
1060 S Main St
Tipton, IN 46072
Phone (765) 675-1111
2900 NW Clearwater Dr
Ste 200109
Bend, OR 97703
Phone (740) 350-3565
520 SW 6th Ave
Ste 1250
Portland, OR 97204
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Peru, IN
- NPI 1972545945
-
- Addiction Medicine (Family Medicine) Physician
- Redwood City, CA
- NPI 1295516128
AK, OR
-
- Psychiatry Physician
- Evansville, IN
- NPI 1427362201
-
- Psychiatric Hospital
- Peru, IN
- NPI 1457539751
-
- Addiction Medicine (Family Medicine) Physician
- Sacramento, CA
- NPI 1144055302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1184677460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 N TILLOTSON AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473043988",
"telephone_number": "765-288-1928",
"fax_number": "765-741-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 N TILLOTSON AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473043988",
"telephone_number": "765-288-1928",
"fax_number": "765-741-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "SUSAN",
"middle_name": "REBECCA",
"credential": "LSCW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004763A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "REID",
"middle_name": "REBECCA",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Muncie, IN
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.