Active NPI
Susan Lynn Clark-Granger, LMSW
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1356446611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801085557
- Practice address
- 3019 Coit Ave NE
Grand Rapids, MI 49505-3376 - Phone
- (616) 365-9575
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 6801085557 | MI | Primary |
Addresses
Primary practice location
3019 Coit Ave NE
Grand Rapids, MI 49505-3376
Mailing address
321 W Main St
Middleville, MI 49333-9201
Phone (269) 795-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356446611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 W MAIN ST",
"city": "MIDDLEVILLE",
"state": "MI",
"postal_code": "493339201",
"telephone_number": "269-795-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 COIT AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495053376",
"telephone_number": "616-365-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK-GRANGER",
"first_name": "SUSAN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801085557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
- Courtney Clark Dunnill, PSYD LLP
- Clark Retirement Community Inc. (Clark at Home Personal Services)
- Clark Retirement Community Inc. (Clark at Home Health Services)
- Clark Retirement Community, Inc.
- Clark Retirement Pharmacy
- Chiquita Vondel Clark-Macklin
- Adam Thomas Clark, PT, DPT, OCS, COMT
- Alysa Michelle Clark, MD
- Amanda Elizabeth Clark, BS, QIDP
- Austin J Clark, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.