Active NPI
Susan D Myers, LCSW
- Registered Nurse
- South Bend, IN
National Provider Identifier
1861530792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28066923A
- Practice address
- 108 N Main St
Suite 305
South Bend, IN 46601-1625 - Phone
- (574) 234-3515
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34003529A | IN | |
| Registered Nurse | 163W00000X | 28066923A | IN | Primary |
Addresses
Primary practice location
108 N Main St
Suite 305
South Bend, IN 46601-1625
Mailing address
108 N Main St
Suite 305
South Bend, IN 46601-1625
Phone (574) 234-3515
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003529A | IN | MD | Clinical Social Worker |
| 28066923A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intrigue Counseling, Inc | Clinical | Past | Accepting new patients |
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": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1861530792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 N MAIN ST",
"address_2": "SUITE 305",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011625",
"telephone_number": "574-234-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 N MAIN ST",
"address_2": "SUITE 305",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011625",
"telephone_number": "574-234-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "SUSAN",
"middle_name": "D",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34003529A",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28066923A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.