SUSIN BREDICE (LMSW) – Social Worker, NPI 1235579566

SUSIN BREDICE (LMSW) is a healthcare provider. based in Des moines, Iowa. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 008194 (IA). The NPI Number for SUSIN BREDICE (LMSW) is 1235579566

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SUSIN BREDICE (LMSW)
NPI
1235579566
Phone
Not provided
Address
3811 38TH ST
Enumeration Date
1 July 2013
Last Update Date
1 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5154016886
Graduation Year
2013 (13 years ago)
PAC ID
6002187606
Group Practice PAC ID
4486925070
Professional Enrollment ID
I20171120002840
Address ID
IA503226338UR6200XAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

828 CLINICAL SOCIAL WORKER in IA

Provider Addresses for SUSIN BREDICE (LMSW)

  • 3811 38TH ST

    DES MOINES, IA 503103648

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171120002840IClinical Social WorkerIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes11116$0
90791Psychiatric diagnostic evaluation1312$0
View full utilization report →

Insurance plans in this area (ZIP 50310)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486925070View full group profile
NameSpecialtyState
-IA
Clinical Social WorkerIA
Mental Health CounselorIA
Mental Health CounselorIA
-IA
Clinical Social WorkerIA
-IA
Mental Health CounselorIA
-IA
Mental Health CounselorIA

Reviews

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Frequently asked questions

What is the registry number for SUSIN BREDICE (LMSW)?
The registry entry for SUSIN BREDICE (LMSW) shows NPI 1235579566.
Does the public listing show SUSIN BREDICE (LMSW) as active?
SUSIN BREDICE (LMSW)'s NPI record reflects an active status in NPPES.
How should patients interpret SUSIN BREDICE (LMSW)'s specialty?
The extract shows Social Worker for SUSIN BREDICE (LMSW). Clinical services aligned with this taxonomy classification.
Is SUSIN BREDICE (LMSW) tied to Des Moines, Iowa?
If you are local to Des Moines, Iowa, SUSIN BREDICE (LMSW) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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