Susan Elaine Peterson-Bones, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10392 Issued in MN

Practice address

818 Prentice St
Granite Falls, MN 56241

Phone

(320) 564-2238

NPI assigned

Dec 21, 2017

Last updated

Sep 3, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/wmhcinc/r4/

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.

• Western Mental Health Center, Inc.

  • Mental Health Counselor
  • Marshall, MN
  • NPI 1982613311

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1831605203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582010",
            "telephone_number": "507-532-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 PRENTICE ST",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "56241",
            "telephone_number": "320-564-2238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 MN-7",
            "address_purpose": "LOCATION",
            "city": "Montevideo",
            "state": "MN",
            "postal_code": "56265",
            "country_code": "US",
            "telephone_number": "320-269-6517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 E Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Granite Falls",
            "state": "MN",
            "postal_code": "562411844",
            "country_code": "US",
            "telephone_number": "320-905-3838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 E College Dr",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "562582010",
            "country_code": "US",
            "telephone_number": "507-532-3236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON-BONES",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "10392",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Martinson
• Minnesota Valley Cooperative Center
• Vicky Marie Moe, M.D.
• Jennifer Ann Monson, FNP-C
• James Nedrud, PA-C
• Vickie Lynn Potter, M.S., L.P.
• Reverence for Life and Concern for People Inc (Proejct Turnabout)
• Arthur J Rillo, MD
• Rosa Esmeralda Rios Avendano, M.D.
• Anneka Roderick, MS, OTR/L

• Clinical Social Worker in Granite Falls, MN
• Providers in Granite Falls, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.