Susanne E Glynn, PH.D., LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801083481 Issued in MI

Practice address

105 Forest Ave
Frankfort, MI 49635-9333

Phone

(231) 352-4945

NPI assigned

Feb 25, 2012

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

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 1

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1330128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1770857534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FOREST AVE",
            "city": "FRANKFORT",
            "state": "MI",
            "postal_code": "496359333",
            "telephone_number": "231-352-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FOREST AVE",
            "city": "FRANKFORT",
            "state": "MI",
            "postal_code": "496359333",
            "telephone_number": "231-352-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "SUSANNE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-25",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Lynn Franke, DDS
• Walter Martin Franke, DDS
• Gateway Family Chiropractic, PC
• Gerard Mahoney PLLC
• Karen Ann Getz, OTR
• Chelsea K Guzzo, DDS
• Chelsey Louise Haselton, PT/DPT
• Diane Lynn Hash, PT, DPT
• Roddie Jarod Helsel, OTR/L
• Meghan M Hescheles, AT, ATC, PTA

• Clinical Social Worker in Frankfort, MI
• Providers in Frankfort, 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 Aug 3, 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.