Sue Ellen Flemke, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15516 Issued in MN

Practice address

1880 Austin Rd
Suite2
Owatonna, MN 55060-4543

Phone

(507) 446-8123

Fax

(507) 446-0600

NPI assigned

Oct 16, 2012

Last updated

Oct 16, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mental Health Professionals Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owatonna, MN
  • NPI 1477516250
  NPD (past)

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1588917504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49045 180TH AVE",
            "city": "PINE ISLAND",
            "state": "MN",
            "postal_code": "559637602",
            "telephone_number": "507-250-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 AUSTIN RD",
            "address_2": "SUITE2",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604543",
            "telephone_number": "507-446-8123",
            "fax_number": "507-446-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMKE",
        "first_name": "SUE",
        "middle_name": "ELLEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernbrook Family Center, Inc
• Fernbrook Family Center, Inc
• Alisha Christine Field, LICSW
• Find Your North LLC
• Logan Mark Flaherty, DDS
• Cheryl Renae Flom, R.N.
• Paul S Floy, MD
• For the Love of You
• Kelly Foster, MA
• Fourth Trimester Physical Therapy LLC

• Clinical Social Worker in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.