MRS. SUZANNE WARD (MSW LICSWA) – Social Worker, NPI 1487082418

MRS. SUZANNE WARD (MSW LICSWA) is a healthcare provider. based in Republic, Washington. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW LICSWA. They hold a License No. SC60419515 (WA). The NPI Number for MRS. SUZANNE WARD (MSW LICSWA) is 1487082418

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUZANNE WARD (MSW LICSWA)
NPI
1487082418
Phone
(509) 775-3341
Address
65 NORTH KELLER STREET
Enumeration Date
30 October 2013
Last Update Date
23 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5096844597
Graduation Year
2013 (13 years ago)
PAC ID
9234519430
Group Practice PAC ID
2466349394
Professional Enrollment ID
I20220706001662
Address ID
WA991142629CO165XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,396 CLINICAL SOCIAL WORKER in WA

Provider Addresses for MRS. SUZANNE WARD (MSW LICSWA)

  • 65 NORTH KELLER STREET

    REPUBLIC, WA 991661120

    Phone: (509) 775-3341

    Type: Location

  • PO BOX 1120

    65 NORTH KELLER ST.

    REPUBLIC, WA 991661120

    Phone: (509) 775-3341

    Type: Mailing

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: 2022-07-06

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
I20220706001662IClinical Social WorkerWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99166)

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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: 2466349394View full group profile
NameSpecialtyState
Mental Health CounselorWA
Mental Health CounselorWA
Mental Health CounselorWA
Nurse PractitionerTX
-WA
Nurse PractitionerID
Nurse PractitionerWA
Clinical Social WorkerWA
Clinical Social WorkerWA
Mental Health CounselorWA

Reviews

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Frequently asked questions

Is MRS. SUZANNE WARD (MSW LICSWA) listed with a National Provider Identifier?
Yes — MRS. SUZANNE WARD (MSW LICSWA) has NPI 1487082418 on file in the registry.
Is there an active status for MRS. SUZANNE WARD (MSW LICSWA)?
For scheduling context, MRS. SUZANNE WARD (MSW LICSWA) is shown as active in the registry.
What expertise is attributed to MRS. SUZANNE WARD (MSW LICSWA)?
MRS. SUZANNE WARD (MSW LICSWA)'s specialty line reads Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. SUZANNE WARD (MSW LICSWA)?
Travel planning: use Republic, Washington as the reference point for MRS. SUZANNE WARD (MSW LICSWA), then confirm.
When was this NPI issued?
Enumeration for MRS. SUZANNE WARD (MSW LICSWA) is noted as October 30, 2013 where the registry provides it.

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