SUSAN J MCCAMMON (NPI# 1699728816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699728816 |
| Entity Type | Individual |
| Full Name | SUSAN J MCCAMMON |
| Credential | LICSW, MA |
| Practice Address |
1811 Weir Dr Ste 270 Woodbury MN 55125-6741 |
| Mailing Address |
1900 Silver Lake Rd Nw Ste 110 New Brighton MN 55112-1789 |
| Practice Telephone | 6517149646 |
| Practice Fax Number | 6517149647 |
| Mailing Telephone | 6516289566 |
| Mailing Fax Number | 6516280411 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7573 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 5886611 | 01 | |
| MEDICA | 62-60241 | 01 | |
| PREFERRED ONE | 01013342 | 01 | |
| BLUE CROSS/BLUE SHIELD | 61Q70SI | 01 | |
| MN | U-CARE | 127605 | 01 |
| MN | 867857000 | 05 | |
| PREFERREDONE ADMINISTRATI | 855661013342 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396821161 | Susan Dixon Mccammon | Otolaryngology | 2000 6th Ave S, Birmingham, AL 35233 | 2006-10-27 |
| Street Address |
1811 WEIR DR STE 270 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-6741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972131290 | Timothy Hanson | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2020-03-31 |
| 1255968111 | Philip Caleb Zastrow | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2020-03-23 |
| 1386278711 | David J Eichhorn | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2020-02-25 |
| 1205466463 | Elizabeth Storm | Nurse Practitioner | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2020-01-16 |
| 1326697947 | Lukas Eisen | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2019-09-06 |
| 1952958027 | James Osei | Nurse Practitioner | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2019-08-22 |
| 1013560127 | Taylor Degen | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2019-07-17 |
| 1578128534 | Alison A Larson | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2019-05-06 |
| 1174085450 | Chandra Rochelle Roth | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2019-04-04 |
| 1659838142 | Julie Ann Peterson | Counselor | 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 | 2019-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655093 | Shane Michael Hamp | Social Worker | 1000 Radio Dr Ste 210, Woodbury, MN 55125-8444 | 2020-09-28 |
| 1528674819 | Flourishing Roots Therapy LLC | Social Worker | 51 Sherman Hill Rd, Building A, Suite 202, Woodbury, CT 06798-0679 | 2020-09-22 |
| 1457979544 | Jeremy Craig Melnick | Social Worker | 1 Joyce Ln, Woodbury, NY 11797-2101 | 2020-07-06 |
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1346880499 | William Sawyer | Social Worker | 6053 Hudson Rd Ste 250, Woodbury, MN 55125-1011 | 2020-01-07 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1427604859 | Lisa Jody Kahn | Social Worker | 175 Froehlich Farm Blvd Ste 156, Woodbury, NY 11797-2920 | 2019-08-12 |
| 1932679016 | Hope & Outreach Therapy Services, LLC | Social Worker | 724 Bielenberg Dr, Woodbury, MN 55125-2620 | 2018-11-30 |
| 1104328988 | Nancy A Ivry Lcsw PC | Social Worker | 136 Woodbury Rd Ste 101c, Woodbury, NY 11797-1411 | 2018-03-07 |
| 1861990095 | Wise Women of New York, LLC | Social Worker | 7 Willow Pond Rd, Woodbury, NY 11797-2819 | 2018-01-23 |
| Find all providers in WOODBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.