Susan Marie Degroot, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801013446 Issued in MI

Practice address

205 S Front St Ste D
Marquette, MI 49855-4629

Phone

(906) 235-1800

Fax

(906) 273-1050

NPI assigned

Aug 22, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1477545747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S FRONT ST STE D",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554629",
            "telephone_number": "906-235-1800",
            "fax_number": "906-273-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S FRONT ST STE D",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554629",
            "telephone_number": "906-235-1800",
            "fax_number": "906-273-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROOT",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801013446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER",
            "identifier": "164009",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN BLUE CROSS",
            "identifier": "8008951700",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETO GBA- RAILROAD RET",
            "identifier": "800011368",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Domingues De Oliveira, M.D.
• Clare De Pue, PA-C
• Debra L. Smith, Psy.D., PLLC
• Megan Marie Dechambeau, MS, AT, ATC
• Alyssa Marie Decremer
• Christopher Allen Dehlin, MD
• Jennifer Mroz Dehlin, MD
• Robert Charles Dellangelo
• Sheryl Lynn Dellangelo, R.N.
• Lindsay Delong, MD

• Clinical Social Worker in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.