SUSAN GUTIERREZ – Clinical Social Worker, NPI 1255760591
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SUSAN GUTIERREZ
622 E GRAND RIVER AVE
HOWELL, MI 488432329
Phone: (517) 548-0081
Fax: (517) 548-0498
Type: Mailing
2280 E GRAND RIVER AVE
HOWELL, MI 488438503
Phone: (517) 546-4126
Fax: (517) 546-1300
Type: Location
2280 E Grand River Ave
Howell, MI 488438503
Phone: (517) 546-4126
Fax: (517) 546-1300
Type: Location
205 N East Ave
Jackson, MI 492011753
Phone: (517) 205-4178
Type: Location
115 N MLK BLVD
LANSING, MI 489151715
Phone: (810) 689-0371
Type: Mailing
205 N EAST AVE
JACKSON, MI 492011753
Phone: (517) 205-4178
Type: Location
PO BOX 30161
LANSING, MI 489097661
Phone: (517) 887-4383
Type: Mailing
333 DAHLIA DR RM E315
LANSING, MI 489113789
Phone: (517) 272-4115
Type: Location
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: 2023-08-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230821002930 | I | Clinical Social Worker | MI | TBD |
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.
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 48843)
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