Active NPI
Susanne Willoughby Myers, LCSW
- Clinical Social Worker
- Birmingham, AL
National Provider Identifier
1508890047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1936C
- Practice address
- 1401 20TH St S
Birmingham, AL 35205-4913 - Phone
- (205) 510-2761
- Fax
- (205) 510-2790
- NPI assigned
- Jul 10, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1936C | AL | Primary |
Addresses
Primary practice location
1401 20TH St S
Birmingham, AL 35205-4913
Mailing address
1401 20TH St S
Birmingham, AL 35205-4913
Phone (205) 510-2761
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51537397 | Other | AL | BCBS FEDERAL EMPLOYEE PRO |
| 51535365 | Other | AL | BLUE CROSS OF AL |
| 630288854 | Other | AL | AMERICAN BEHAVIORAL HEALT |
Other names 1
- Mrs. Susanne Muriel Willoughby
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1936C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256688000000",
"number": "1508890047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 20TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054913",
"telephone_number": "205-510-2761",
"fax_number": "205-510-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 20TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054913",
"telephone_number": "205-510-2761",
"fax_number": "205-510-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "SUSANNE",
"middle_name": "WILLOUGHBY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2009-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "1936C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FEDERAL EMPLOYEE PRO",
"identifier": "51537397",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF AL",
"identifier": "51535365",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BEHAVIORAL HEALT",
"identifier": "630288854",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSANNE",
"last_name": "WILLOUGHBY",
"middle_name": "MURIEL",
"prefix": "MRS.",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.