Active NPI
Susan Marie Fiegl, LSW,LICDC
- Social Worker
- Springfield, OH
National Provider Identifier
1871838649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S0005751
- Practice address
- 1690 N Limestone St
Springfield, OH 45503-2652 - Phone
- (937) 717-5591
- Fax
- (937) 717-5591
- NPI assigned
- Dec 5, 2012
- Last updated
- Dec 5, 2012
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 954427 | OH | |
| Social Worker | 104100000X | S0005751 | OH | Primary |
Addresses
Primary practice location
1690 N Limestone St
Springfield, OH 45503-2652
Mailing address
1690 N Limestone St
Springfield, OH 45503-2652
Phone (937) 717-5591
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
| License | State | Type | Specialty |
|---|---|---|---|
| 954427 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S0005751 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1871838649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 N LIMESTONE ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455032652",
"telephone_number": "937-717-5591",
"fax_number": "937-717-5591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 N LIMESTONE ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455032652",
"telephone_number": "937-717-5591",
"fax_number": "937-717-5591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIEGL",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LSW,LICDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-05",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "954427",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S0005751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.