Individual provider Active NPI

Suzanne Pelletier-Walker, MSW, LISWS

  • Clinical Social Worker
  • Circleville, OH
National Provider Identifier
1649711953
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0010176 Issued in OH
Practice address
2065 Stoneridge Dr
Circleville, OH 43113-8956
Phone
(740) 500-1391
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I.0010176-SUPV OH
Clinical Social Worker 1041C0700X 0010176 OH Primary

Addresses

Primary practice location

2065 Stoneridge Dr
Circleville, OH 43113-8956

Mailing address

2065 Stoneridge Dr
Circleville, OH 43113-8956
Phone (740) 500-1391

Other practice location 1

1235 S Court St
Circleville, OH 43113-2108
Phone (740) 500-1391

Other practice location 2

327 N Broad St
Lancaster, OH 43130-3004
Phone (740) 689-2558

Other practice location 3

1875 Stoneridge Dr
Circleville, OH 43113-8956
Phone (740) 500-1391

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250430000357 OH Practitioner - Clinical Social Worker 0749706059 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0010176-SUPVOHMDMental Health Counselor
0010176OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Recovery of Circleville CurrentSince Feb 23, 2025 Accepting new patients
Full Circle Recovery of Circleville CurrentSince Feb 23, 2025 Accepting new patients

Locations

2065 Stoneridge Dr
Circleville, OH 43113
Phone (740) 500-1391

1875 Stoneridge Dr
Circleville, OH 43113
Phone (740) 500-1391

1235 S Court St
Circleville, OH 43113
Phone (740) 420-9440

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/hopevalleyrecovery/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1649711953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 STONERIDGE DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431138956",
            "telephone_number": "740-500-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 STONERIDGE DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431138956",
            "telephone_number": "740-500-1391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 S Court St",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431132108",
            "country_code": "US",
            "telephone_number": "740-500-1391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303004",
            "country_code": "US",
            "telephone_number": "740-689-2558",
            "fax_number": "740-689-2616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1875 Stoneridge Dr",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431138956",
            "country_code": "US",
            "telephone_number": "740-500-1391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLETIER-WALKER",
        "first_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "MSW, LISWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.0010176-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0010176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.