Susan Julia Wurtenberger, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2015026751 Issued in MO

Practice address

20335 Anderson Rd
Weston, MO 64098-9251

Phone

(816) 216-4330

NPI assigned

Feb 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ipc Pac Healthcare Services of Missouri IncGroup PAC ID 4587950589, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ipc Pac Healthcare Services of Missouri Inc

  • Hospitalist Physician
  • Sikeston, MO
  • NPI 1326497587
  Medicare reassignment Care Compare group NPD
• Pathfinder Counseling LLC

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1164173860
  Medicare reassignment NPD Authorized official
• CS Pacs 3 Midwest LLC

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1972368785

  KS, MO

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  KS, MO

  Medicare reassignment NPD
• Kansas Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Colwich, KS
  • NPI 1124557020
  Medicare reassignment

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1720670508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20335 ANDERSON RD",
            "city": "WESTON",
            "state": "MO",
            "postal_code": "640989251",
            "telephone_number": "816-216-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20335 ANDERSON RD",
            "city": "WESTON",
            "state": "MO",
            "postal_code": "640989251",
            "telephone_number": "816-216-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURTENBERGER",
        "first_name": "SUSAN",
        "middle_name": "JULIA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3812",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LSW0009630054",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015026751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Exercise and Chiropractic Corporation
• Therapeutic Exercise and Chiropractic Corporation
• Paula Webb, SFA
• West Platte Fire Protection District
• Weston Family Clinic, LLC (Weston Family Clinic)

• Clinical Social Worker in Weston, MO
• Providers in Weston, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.

Verify at the official NPI Registry.