SUSAN RENNOLDS (NPI# 1699098210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699098210 |
| Entity Type | Individual |
| Full Name | SUSAN RENNOLDS |
| Practice Address |
3948 Ben Walters Ln Homer AK 99603-7708 |
| Practice Telephone | 9072357701 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 914 | AK | Behavioral Health & Social Service Providers |
| Street Address |
3948 BEN WALTERS LN |
| City | HOMER |
| State | AK |
| Zip Code | 99603-7708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285640961 | South Peninsula Behavioral Health Services Inc | Community/Behavioral Health | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2006-08-01 |
| 1235730029 | Margaret Mitchell | Case Manager/Care Coordinator | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1619578440 | Cody Davidson | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1104427913 | Holly Bliss | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1578164398 | Russell Campbell | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1003417825 | Nathan Chorman | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1992306724 | Sharron Cotogno | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1144821976 | Brian Duffy | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1770184509 | Richard Everett | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1528669314 | James Fisher | Case Manager/Care Coordinator | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
| 1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
| 1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
| 1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| Find all providers in zip 99603 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760703227 | Krista C Keeler | Social Worker | 24 Copeland Avenue, Homer, NY 13077 | 2010-06-18 |
| 1831389378 | Rona Sue Haberman | Social Worker | 4251 Bartlett Street, Homer, AK 99603-7001 | 2007-07-31 |
| 1740747039 | Adrienne Sovocool | Social Worker | 6 N West St Ste 5, Homer, NY 13077-1068 | 2019-02-23 |
| 1972060481 | Nora Salanger | Social Worker | 6 N West St Ste 5, Homer, NY 13077-1068 | 2019-02-21 |
| 1104267566 | Jamie Lynn Wheeler | Social Worker | 24 Copeland Ave, Homer, NY 13077-1529 | 2013-07-15 |
| 1194072272 | Joanne Brumm | Social Worker | 24 Copeland Ave, Homer, NY 13077-1529 | 2012-08-08 |
| 1922315092 | Christine Bubar | Social Worker | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2010-09-09 |
| 1902068760 | Nina Allen | Social Worker | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2008-07-01 |
| 1982874137 | Molly Stonorov | Social Worker | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2008-03-04 |
| 1700056975 | James Henkelman | Social Worker | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2008-03-04 |
| Find all providers in HOMER | ||||
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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.