Heller Sue Landecker, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

08587 Issued in MN

Practice address

15 Groveland Ter
Suite 202
Minneapolis, MN 55403-1154

Phone

(612) 798-1686

Fax

(612) 343-8112

NPI assigned

Sep 28, 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 3

Medicare fee-for-service enrollment

Enrolled in MN

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Anita Doyle PA

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1720133291
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972695161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GROVELAND TER",
            "address_2": "SUITE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031154",
            "telephone_number": "612-798-1686",
            "fax_number": "612-343-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GROVELAND TER",
            "address_2": "SUITE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031154",
            "telephone_number": "612-798-1686",
            "fax_number": "612-343-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDECKER",
        "first_name": "HELLER",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "08587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "106605",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "7G548LA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6181114",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine E Land
• Sharon Louise Landavazo, L.I.C.S.W.
• Mackenzie Landbloom, LICSW
• Jerrica Lande, AU.D., CCC-A
• John P Lande, D.D.S.
• Eric Michael Lander, MD
• Timothy Alan Lander, MD
• Daniel V Landers, MD
• Erin Lynn Landgrebe, MS, RD, LD
• Dorothy Jean Landis, LICSW

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.