Susan L Startup, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087797 Issued in MI

Practice address

1901 Niles Ave Ste 102
Saint Joseph, MI 49085-1615

Phone

(269) 982-7200

Fax

(269) 982-0202

NPI assigned

Dec 8, 2006

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

Other names 1

• Susan L Wierenga Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Telehealth

Offers telehealth services

Group practices

Freedom Counseling Center, Inc.Group PAC ID 6608005046, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Freedom Counseling Center Inc

  • Counseling Psychologist
  • Saint Joseph, MI
  • NPI 1083838361
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1962562397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66817 TERRITORIAL RD",
            "city": "LAWRENCE",
            "state": "MI",
            "postal_code": "490648777",
            "telephone_number": "616-460-2962",
            "fax_number": "269-982-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NILES AVE STE 102",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851615",
            "telephone_number": "269-982-7200",
            "fax_number": "269-982-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARTUP",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-06-14",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712452",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WIERENGA",
            "middle_name": "L",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Louis Richard Standiford, D.O.
• Tatiyana Stankovic, MSN, FNP
• Annabelle Marie Staples, DO
• Margaret O. Stark, N.P.
• George T Starrett, EDD
• Stately Living, LLC
• Robert Allen Stauffer, CMMT
• Ryan J Steele, OTRL
• Christianna Nicole Steely
• Zachariah Luke Steffen

• Clinical Social Worker in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.