Individual provider Active NPI

Michelle Marie Hammond-Susten, LCSW

  • Clinical Social Worker
  • Walhalla, SC
National Provider Identifier
1710278312
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004374 Issued in GA
Practice address
3805 Highlands Highway, Suite 2
Walhalla, SC 29691-2969
Phone
(678) 467-9307
NPI assigned
Apr 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW004374 GA Primary

Addresses

Primary practice location

3805 Highlands Highway, Suite 2
Walhalla, SC 29691-2969

Mailing address

1750 Lake Jemiki Rd
Walhalla, SC 29691-4238
Phone (678) 467-9307

Other practice location 1

315 W Ponce De Leon Ave Ste 645
Decatur, GA 30030-2498
Phone (678) 467-9307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20120326000106 GA Practitioner - Clinical Social Worker 3375703622 Practice locations: Decatur, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 W Ponce de Leon Ave
Suite 645
Decatur, GA 30030-2480
Phone (678) 467-9307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Therapy & Wellness, LLC CurrentSince Mar 4, 2021 Accepting new patients

Organizations & group practices 1

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": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1710278312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 LAKE JEMIKI RD",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296914238",
            "telephone_number": "678-467-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 HIGHLANDS HIGHWAY, SUITE 2",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296912969",
            "telephone_number": "678-467-9307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Ponce De Leon Ave Ste 645",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300302498",
            "country_code": "US",
            "telephone_number": "678-467-9307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOND-SUSTEN",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walhalla, SC

Sources for this page

Verify at the official NPI Registry.