Active NPI
Susan Marie Piepgras, MSW, LICSW
- Clinical Social Worker
- Burnsville, MN
National Provider Identifier
1275717670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13195
- Practice address
- 14587 Grand Ave S
Suite 110
Burnsville, MN 55337 - Phone
- (952) 452-1138
- Fax
- (952) 898-1244
- NPI assigned
- Dec 20, 2007
- Last updated
- Dec 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 13195 | MN | Primary |
Addresses
Primary practice location
14587 Grand Ave S
Suite 110
Burnsville, MN 55337
Mailing address
14587 Grand Ave S
Suite 110
Burnsville, MN 55337
Phone (952) 452-1138
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1275717670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14587 GRAND AVE S",
"address_2": "SUITE 110",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "55337",
"telephone_number": "952-452-1138",
"fax_number": "952-898-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14587 GRAND AVE S",
"address_2": "SUITE 110",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "55337",
"telephone_number": "952-452-1138",
"fax_number": "952-898-1244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIEPGRAS",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-20",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "13195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
- Physical Therapy Solutions, Inc
- Piccolino Psychological Services, PA
- Joy Pamela Piccolino, PSYD, LP
- Kristi K Picken, RN,MS,CNS
- Kathryn M Pieper, COTA
- Pietila Chiropractic
- John Robert Pietila, D.C., D.A.C.N.B.
- Piff Holdings, P.C. (Northern Life Wellness)
- Shannon Pikka, LPC
- Brie Pileggi, PSY.D., LP, ABPP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.