Suzanne Marie Speltz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3650-123 Issued in WI

Practice address

2801 Calumet Dr
Sheboygan, WI 53083-3839

Phone

(920) 451-6908

Fax

(920) 458-6439

NPI assigned

Jul 13, 2022

Last updated

Jul 15, 2022By the provider in NPPES

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 WI

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nett Work Family Counseling LLCGroup PAC ID 5597849604, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nett Work Family Counseling LLC

  • Adult Mental Health Clinic/Center
  • Sheboygan, WI
  • NPI 1053406066
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1306570676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 MENDOCINO LN APT 308",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530831872",
            "telephone_number": "920-786-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CALUMET DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530833839",
            "telephone_number": "920-451-6908",
            "fax_number": "920-458-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELTZ",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3650-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Sonnenberg, RN, BSN, MED
• Jade Nicole Sonsalla, OTR
• Abdelouahid Souala, MD
• Curtis M Spaulding, RDH
• Jennifer L Specht, PHD
• Spine Solutions of Sheboygan LLC
• Spine Solutions of Sheboygan LLC
• Spinelli Group LLC (SYNERGY HomeCare of Sheboygan)
• St Nicholas Hospital -Sisters of Third Order of St Francis
• St Nicholas Hospital of the Hospital Sisters of St Francis (Prevea Health Employer Services)

• Clinical Social Worker in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.