Susan Imhoff Bird, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

288938-3501 Issued in UT

Practice address

4505 S Wasatch Blvd Ste 320
Salt Lake City, UT 84124-4755

Phone

(801) 541-5205

NPI assigned

Sep 20, 2017

Last updated

Sep 20, 2017By 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 UT

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Susan Imhoff Bird

  dba Centered Earth Counseling

  • Clinic/Center
  • Salt Lake City, UT
  • NPI 1750890935
  NPD (past) Authorized official

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1386153534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 E 1700 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082716",
            "telephone_number": "801-541-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 S WASATCH BLVD STE 320",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244755",
            "telephone_number": "801-541-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "SUSAN",
        "middle_name": "IMHOFF",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "288938-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Del Bircher, LCSW
• Braxton Bird
• Brian Buchanan Bird
• Daniel Bird
• Darnell Thompson Bird, FNP
• Lindsay M Birden
• Galen C Birdsley, D.C.
• William Robert Bireley II, M.D.
• Nathaniel Mark Birgenheier, M.D.
• Angela Hall Birkeland, DNP

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.