Individual provider Active NPI

Susan Heffner Rhema, PHD, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1720483258
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1924 Issued in KY
Practice address
1347 S 3Rd St
Louisville, KY 40208-3306
Phone
(502) 550-0576
Fax
(502) 635-2457
NPI assigned
Oct 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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 1924 KY Primary

Addresses

Primary practice location

1347 S 3Rd St
Louisville, KY 40208-3306

Mailing address

212 W Ormsby Ave
Louisville, KY 40203-2820
Phone (502) 550-0576

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1924KYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Threshold Services, PLLC Clinical Past 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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1720483258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W ORMSBY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032820",
            "telephone_number": "502-550-0576",
            "fax_number": "502-635-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402083306",
            "telephone_number": "502-550-0576",
            "fax_number": "502-635-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEMA",
        "first_name": "SUSAN",
        "middle_name": "HEFFNER",
        "name_prefix": "Ms.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.