Susan M. Razbadouski, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

210 N Longwood St
Rockford, IL 61107-4134

Phone

(815) 962-5585

Fax

(815) 962-8945

NPI assigned

Nov 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in IL

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, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Geiger Psychiatric Care LLCGroup PAC ID 1557312154, 9 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Geiger Psychiatric Care LLC

  dba Magnolia Mental Health Clinic

  • Psychiatry Physician
  • Loves Park, IL
  • NPI 1043356595
  Medicare reassignment Care Compare group NPD
• Family Counseling Services of Northern Illinois

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1639241748
  Medicare reassignment
• Progressive Chiropractic Wellness & Rehab Centre, P.C.

  • Point of Service
  • Loves Park, IL
  • NPI 1023206265
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801967351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N LONGWOOD ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074134",
            "telephone_number": "815-962-5585",
            "fax_number": "815-962-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N LONGWOOD ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074134",
            "telephone_number": "815-962-5585",
            "fax_number": "815-962-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZBADOUSKI",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Rauter, M.D.
• Sadie Rawajih, APN, CNM
• Elysia Marie Ray
• Kadijah Sekhmet Ray, M.D.
• Linda M Razbadouski, M.D.
• Mohammad Razvi, MD, MBA
• Ready, Set, Play LLC
• Sarah Grace Rebban, SLP-CF
• Lester Walter Rebman, PT
• Rebound Physical Therapy Center PC

• Clinical Social Worker in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.