Active NPI
Suzanne Marie Hollandsworth, LMSW
- Clinical Social Worker
- Mason, MI
National Provider Identifier
1700438173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801118083
- Practice address
- 923 S Lansing St
Mason, MI 48854-1917 - Phone
- (517) 930-3071
- Fax
- (517) 247-2842
- NPI assigned
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801118083 | MI | Primary |
Addresses
Primary practice location
923 S Lansing St
Mason, MI 48854-1917
Mailing address
923 S Lansing St
Mason, MI 48854-1917
Phone (517) 930-3071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801118083 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Counseling LLC | Clinical | Current | Accepting new patients |
| Meridian Professional Psychological Consultants | Past | Accepting new patients | |
| Professional Psychological & Rehabilitation Services | Clinical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Mason, MI
- NPI 1518326461
-
- Psychiatry Physician
- East Lansing, MI
- NPI 1225150139
-
- Clinical Psychologist
- Lansing, MI
- NPI 1972625424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1700438173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 S LANSING ST",
"city": "MASON",
"state": "MI",
"postal_code": "488541917",
"telephone_number": "517-930-3071",
"fax_number": "517-247-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 S LANSING ST",
"city": "MASON",
"state": "MI",
"postal_code": "488541917",
"telephone_number": "517-930-3071",
"fax_number": "517-247-2842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLANDSWORTH",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801118083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mason, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.