Susan Dunn, MS, LCSW, LMHC, LMFT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003089A Issued in IN

Practice address

501 N Main St
South Bend, IN 46601-1020

Phone

(574) 360-4066

Fax

(866) 843-2486

NPI assigned

Jul 26, 2006

Last updated

Nov 26, 2012By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Center for Positive Change, Inc

  • Mental Health Counselor
  • South Bend, IN
  • NPI 1326392150
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1447273669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N MAIN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011020",
            "telephone_number": "574-360-4066",
            "fax_number": "866-843-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MAIN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011020",
            "telephone_number": "574-360-4066",
            "fax_number": "866-843-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "MS, LCSW, LMHC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000384A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003089A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35000608A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Vestal Dunfee, PHD
• Dungarvin Indiana, LLC
• Courtney Dunlap, CRNA
• Monica A. Dunlap, MD
• Andrew Dunn
• Gerard I Duprat, MD
• Matthew T. Dupre, MD
• Edward J Durbin, MD
• Timothy J Durham, MD
• Dustin Durnell

• Clinical Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.