Susan Dice, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801111338 Issued in MI

Practice address

4503 Leonard St
Coopersville, MI 49404-8725

Phone

(616) 836-0036

NPI assigned

Mar 30, 2021

Last updated

Nov 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Susan Boeve Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Counseling Center of West Michigan, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1437610730
  Medicare reassignment NPD
• Out Side in, Inc.

  • Clinical Social Worker
  • Grand Haven, MI
  • NPI 1922306323
  Medicare reassignment NPD
• Virtuwell Therapy, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1871356212
  NPD (past)

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1336727551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 LEONARD ST",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494048725",
            "telephone_number": "616-836-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 LEONARD ST",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494048725",
            "telephone_number": "616-836-0036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12511 152nd Avenue",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "49417",
            "country_code": "US",
            "telephone_number": "616-844-0906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Lake Michigan Dr NW Ste 103",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495344583",
            "country_code": "US",
            "telephone_number": "616-805-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICE",
        "first_name": "SUSAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801111338",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BOEVE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Coopersville Vision Center PC
• Kari Cottrell, COTA/L
• David M Shabluk DDS, PC
• Sarah Jane Dowdy, PT
• Amber Draft
• Hannah Ebels, CLD
• Elite Medical Associates, PLLC
• Sara Eskandari, DDS

• Clinical Social Worker in Coopersville, MI
• Providers in Coopersville, 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 Nov 10, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.