Susan M Rouggly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2007025109 Issued in MO

Practice address

2822 Rivers BND S
Bonne Terre, MO 63628-3906

Phone

(573) 358-0541

NPI assigned

Oct 16, 2009

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

Medicare fee-for-service enrollment

Enrolled in MO

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Psychiatric Services IncGroup PAC ID 8820074297, 8 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.

• Advanced Psychiatric Services Inc

  • Psychiatry Physician
  • Festus, MO
  • NPI 1154372464
  Medicare reassignment Care Compare group NPD
• Advanced Psychiatric Services

  • Psychiatry Physician
  • Sullivan, MO
  • NPI 1457303877
  NPD (past)

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1922333418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 RIVERS BND S",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636283906",
            "telephone_number": "573-358-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 RIVERS BND S",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636283906",
            "telephone_number": "573-358-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUGGLY",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2007025109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel O. Reiter, D.C.
• Robert O Greenwald DDS PC
• Nedrea Kay Roberts, LPC, NCC
• Ronay Rodgers, FNP
• Kaitlin B Rosa, SLP
• Rachelle Sappington
• Alice Schilly-Rhodes, P.T.
• Brianna M Shelton, M.S., CCC-SLP
• Taylor Lynn Siebert
• Roxanne Marie Simmons, M.A., CCC-SLP

• Clinical Social Worker in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.