Individual provider Active NPI

Susan Renee Gerstweiler, LMSW

  • Clinical Social Worker
  • North Muskegon, MI
National Provider Identifier
1710738281
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801078026 Issued in MI
Practice address
2122 Oak Ave
North Muskegon, MI 49445-3142
Phone
(231) 557-7033
NPI assigned
Apr 1, 2024
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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 6801078026 MI Primary

Addresses

Primary practice location

2122 Oak Ave
North Muskegon, MI 49445-3142

Mailing address

2122 Oak Ave
North Muskegon, MI 49445-3142
Phone (231) 557-7033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801078026MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1710738281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 OAK AVE",
            "city": "NORTH MUSKEGON",
            "state": "MI",
            "postal_code": "494453142",
            "telephone_number": "231-557-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 OAK AVE",
            "city": "NORTH MUSKEGON",
            "state": "MI",
            "postal_code": "494453142",
            "telephone_number": "231-557-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTWEILER",
        "first_name": "SUSAN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801078026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Muskegon, MI

Sources for this page

Verify at the official NPI Registry.