Individual provider Active NPI

Susanne Platt, L.C.S.W.

  • Clinical Social Worker
  • Nevada, MO
National Provider Identifier
1346260395
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW002090 Issued in MO
Practice address
300 W Cherry St
Nevada, MO 64772-2202
Phone
(417) 667-4230
NPI assigned
Jul 20, 2006
Last updated
Apr 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW002090 MO Primary

Addresses

Primary practice location

300 W Cherry St
Nevada, MO 64772-2202

Mailing address

1913 N Elm St
Nevada, MO 64772-1010
Phone (417) 448-5919

Other identifiers 2

IdentifierTypeStateIssuer
34616011OtherMOBC/BS OF KANSAS CITY
499076008MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20040805001126 MO Practitioner - Clinical Social Worker 3375514888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada City HospitalGroup PAC ID 9830095280, 87 clinicians

Practice addresses (Care Compare)

800 S Ash St
Nevada, MO 64772-3223
Phone (417) 667-3355

800 S Ash St
Nevada, MO 64772-3224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002090MOMDProfessional Counselor
SW002090MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada City Hospital CurrentSince Jul 16, 2003 Accepting new patients
Nevada City Hospital CurrentSince Jul 16, 2003 Accepting new patients

Locations

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1346260395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 N ELM ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721010",
            "telephone_number": "417-448-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CHERRY ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647722202",
            "telephone_number": "417-667-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATT",
        "first_name": "SUSANNE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW002090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KANSAS CITY",
            "identifier": "34616011",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499076008",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, MO

Sources for this page

Verify at the official NPI Registry.