Active NPI
Michelle Marie Hammond-Susten, LCSW
- Clinical Social Worker
- Walhalla, SC
National Provider Identifier
1710278312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004374
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Therapy & Wellness, LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Walhalla, SC
- NPI 1023602620
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.