Susan Ernst

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

095865 Issued in IA

Practice address

1212 S Church St
Princeton, IL 61356-2426

Phone

(815) 872-1282

NPI assigned

Apr 18, 2019

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2019.

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1306409933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S CHURCH ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S CHURCH ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562426",
            "telephone_number": "815-872-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNST",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "095865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robbie Duckworth
• Alan Dumontier, MD
• Jeffrey D Dzik, O.D.
• Grace Eager, LCSW
• Stephanie Ann Eddens, LCPC
• Richard C Everett, D.C.
• Arnold Faber, MD
• Dennis A Farrell, D.C.
• Jarred Allen Farrell, D.C.
• Roberta Fox

• All providers in Princeton, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.