Active NPI
Susan Eleanor Walsh, BS
- Social Worker
- Painesville, OH
National Provider Identifier
1477697647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S-0021321
- Practice address
- 41 E Erie St
Painesville, OH 44077-3947 - Phone
- (440) 358-7370
- Fax
- (440) 358-7373
- NPI assigned
- Feb 19, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S-0021321 | OH | Primary |
Addresses
Primary practice location
41 E Erie St
Painesville, OH 44077-3947
Mailing address
286 Deep Creek Cir
Northfield, OH 44067-5002
Phone (330) 467-6504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-0021321 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477697647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 DEEP CREEK CIR",
"city": "NORTHFIELD",
"state": "OH",
"postal_code": "440675002",
"telephone_number": "330-467-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 E ERIE ST",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440773947",
"telephone_number": "440-358-7370",
"fax_number": "440-358-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "SUSAN",
"middle_name": "ELEANOR",
"name_prefix": "Mrs.",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S-0021321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Painesville, OH
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.