Individual provider Active NPI

Susan Jane Hemmesch

  • Clinical Social Worker
  • Rochester, MN
National Provider Identifier
1831909175
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33626 Issued in MN
Practice address
3535 40TH Ave NW Ste 210
Rochester, MN 55901-1769
Phone
(507) 516-0227
Fax
(507) 516-0228
NPI assigned
Jan 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 33626 MN Primary

Addresses

Primary practice location

3535 40TH Ave NW Ste 210
Rochester, MN 55901-1769

Mailing address

813 48TH Ave NW
Rochester, MN 55901-6517
Phone (507) 923-3726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33626MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD Clinical CurrentSince Jan 12, 2025 Accepting new patients

Locations

3535 40th Ave NW
Ste 210
Rochester, MN 55901
Phone (507) 516-0227

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1831909175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 48TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016517",
            "telephone_number": "507-923-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 40TH AVE NW STE 210",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011769",
            "telephone_number": "507-516-0227",
            "fax_number": "507-516-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMMESCH",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "33626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.