Sue McConnell, APSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

131200-121 Issued in WI

Practice address

93 W Geneva St Ste 934
Williams Bay, WI 53191-9562

Phone

(262) 607-6390

NPI assigned

Aug 30, 2018

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

Medicare fee-for-service enrollment

Enrolled in MI

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Streams P CGroup PAC ID 2961446273, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desert Streams P C

  • Psychologist
  • Kalamazoo, MI
  • NPI 1740295492
  Medicare reassignment Care Compare group NPD
• C.a. Counseling & Consultants, LLC.

  • Clinical Social Worker
  • Williams Bay, WI
  • NPI 1548652241
  NPD (past)

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1619459260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 934",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531910934",
            "telephone_number": "262-607-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 W GENEVA ST STE 934",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531919562",
            "telephone_number": "262-607-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "SUE",
        "credential": "APSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "131200-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Joel Johnson, M.D.
• Mitchell Steven Johnson
• Susan Mary Johnson, RN BSN
• Kingme Inc
• Laura L. Kleber, OT
• Victoria McHugh, APSW
• Denise Millet, MS, LPC, LMFT-IT
• Denice Mock, LCSW
• Murison Sports Medicine and Rehabilitation, LLC
• National Birth Centers, Inc.

• Social Worker in Williams Bay, WI
• Providers in Williams Bay, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.