Susan Neller, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801015937 Issued in MI

Practice address

2615 Stadium Drive
Kalamazoo, MI 49008-1654

Phone

(269) 343-1651

Fax

(269) 392-7078

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1194893768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 STADIUM DRIVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081654",
            "telephone_number": "269-343-1651",
            "fax_number": "269-392-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 STADIUM DRIVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081654",
            "telephone_number": "269-343-1651",
            "fax_number": "269-392-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLER",
        "first_name": "SUSAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801015937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Nehme, MD
• Neighbor 2 Neighbor 360
• Meaghan Neil
• Holli Kaye Neiman-Hart, M.D.
• Corissa Neiman
• Kenneth W. Nelli, RPH
• Krystin Nelligan
• Stephanie Shawn Nelsen, NP
• Brittany Nelson, BS QIDP
• Brittany Nelson

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.

Verify at the official NPI Registry.