Susan R McClure, L.I.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I. 0008806 Issued in OH

Practice address

Ellen F Casper PHD & Associates
23250 Chagrin Blvd. Suite 425
Beachwood, OH 44122

Phone

(216) 464-4243

Fax

(216) 595-8210

NPI assigned

Sep 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbc.susanmcclure@140094.advancedmd-direct.com

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.

• Psychological & Behavioral Consultants, LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713
  Medicare reassignment NPD
• Ellen F. Casper, PH.D. and Associates

  • Psychologist
  • Beachwood, OH
  • NPI 1558469957

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1588851448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELLEN F CASPER PHD & ASSOCIATES",
            "address_2": "23250 CHAGRIN BLVD. SUITE 425",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-464-4243",
            "fax_number": "216-595-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELLEN F CASPER PHD & ASSOCIATES",
            "address_2": "23250 CHAGRIN BLVD. SUITE 425",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-464-4243",
            "fax_number": "216-595-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I. 0008806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan McBride
• Garrett C McCandless, PT
• Molly Patricia McCann, CT
• Kelli McCartney, APRN,NP-C
• Michael P McClain, D.O.
• Carrie McConville
• Mark McConville, PH.D.
• Alex Taylor McCormick, D.O
• Kaitlin McCormick, PA-C
• Riley Anne McCormick, LSW

• Social Worker in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.