Individual provider Active NPI

Susan Sydney Newman, M.S.W. L.C.S.W.

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1396149472
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002175 Issued in MO
Practice address
745 Craig Rd
Ste 212
Saint Louis, MO 63141-7160
Phone
(314) 395-7560
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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 002175 MO Primary

Addresses

Primary practice location

745 Craig Rd
Ste 212
Saint Louis, MO 63141-7160

Mailing address

66 Arundel PL
Saint Louis, MO 63105-2278
Phone (314) 378-0312

Other names 1

  • Mrs. Susan K Newman Professional name

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
I20150303001899 MO Practitioner - Clinical Social Worker 7618293978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

842 N New Ballas Court
Unit 404
Saint Louis, MO 63141-7155
Phone (314) 378-0312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002175MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Susan K Newman LCSW LLC CurrentSince Apr 1, 2017 Accepting new patients
Pathways for Aging, Inc. Clinical PastSince Jun 7, 2014 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1396149472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 ARUNDEL PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052278",
            "telephone_number": "314-378-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 CRAIG RD",
            "address_2": "STE 212",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417160",
            "telephone_number": "314-395-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "SUSAN",
        "middle_name": "SYDNEY",
        "name_prefix": "Mrs.",
        "credential": "M.S.W. L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "NEWMAN",
            "middle_name": "K",
            "prefix": "MRS.",
            "credential": "M.S.W. L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.