Carolyn G Sutherby, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801083890 Issued in MI

Practice address

1300 Michigan Street NE
202
Grand Rapids, MI 49503-2029

Phone

(616) 267-7888

NPI assigned

Sep 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1740681998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-486-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MICHIGAN STREET NE",
            "address_2": "202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032029",
            "telephone_number": "616-267-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERBY",
        "first_name": "CAROLYN",
        "middle_name": "G",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britni Surre
• Susan Jongekryg LMSW LLC
• Susan L. King (Lamplight Counseling, PLLC)
• Susan Missad Counseling
• Nicole Susser, DO
• Liliya Shevchenko Sutherland, D.O.
• Carly Sutkiewicz, MA, LPC, NCC
• Cynthia Gail Sutter, PT
• Joshua Sutton
• Lauren Liesbeth Sutton, NP

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.