Susan L Speropulos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8130 Issued in FL

Practice address

4453 Highway 90
Pace, FL 32571-2066

Phone

(850) 905-0110

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susan L Cain Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  Medicare reassignment Care Compare group NPD
• Partners Family Medicine Practice & Recovery Center Inc

  • Addiction (Substance Use Disorder) Counselor
  • Pace, FL
  • NPI 1396364899

  Clinical

  Medicare reassignment NPD
• The Anchor Clinic, LLC

  • Health Service Psychologist
  • Pensacola, FL
  • NPI 1629161435
  Medicare reassignment NPD
• Pensacola Psychological Clinic PA

  • Clinical Psychologist
  • Pensacola, FL
  • NPI 1730241209
  NPD (past)
• Rementis Health Group LLC

  • Community/Behavioral Health Agency
  • Destin, FL
  • NPI 1417108200
  NPD (past)
• Memory Bridging Incorporated

  • Cognitive & Behavioral Psychologist
  • Parker, CO
  • NPI 1386827293
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1508950478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 REDBUD LN",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719378",
            "telephone_number": "850-503-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4453 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712066",
            "telephone_number": "850-905-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 South Palafox Street",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "32502",
            "country_code": "US",
            "telephone_number": "850-433-1656",
            "fax_number": "850-433-1996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEROPULOS",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "Z103E",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CAIN",
            "middle_name": "L",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marjorie M Smith, MS CCC-SLP
• Paul Sohr, LMHC, C.A.P., ICADC
• Alexander Sousa, MD
• Jennifer South, RN, IBCLC, RLC
• Southern Medical Consultants
• Noel L Spurlock, DDS
• Alex Stahura, D.O.
• Sara Stamm
• Marie Pamela Stead, LMFT
• Nicholas William Stott

• Clinical Social Worker in Pace, FL
• Providers in Pace, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.