SUSAN A SPIVEY LICSW
NPI 1447310339
Social Worker - Clinical in Grand Forks, ND

Q: What is Susan Spivey's NPI number?

The NPI number for Susan Spivey is 1447310339. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Susan Spivey's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Susan Spivey was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment

2808 17TH AVE S, GRAND FORKS, ND 58201(701) 746-8376(701) 746-9872 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Nov 8, 2017 (2 updates tracked since 2017).

On this page

About Susan A Spivey Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN A SPIVEY LICSW (NPI 1447310339) is an individual clinical provider in Grand Forks, North Dakota, licensed in North Dakota (3096) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Forks, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1447310339

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSUSAN A SPIVEYCredential: LICSW

Location Address2808 17TH AVE SGrand Forks, ND 58201-4010

Mailing Address2808 17th Ave SGrand Forks, ND 58201-4010 · (701) 746-8376 · Fax (701) 746-9872

Phone(701) 746-8376

Fax(701) 746-9872

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateDecember 11, 2006

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1447310339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ND · 3096

Definition

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.

2808 17TH AVE S, Grand Forks, ND 58201

Open in Google Maps ↗

Secondary Practice Location 1

Location 1860 S Columbia RdGrand Forks, ND 58201-4028 · Phone (701) 780-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan A Spivey Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406112846

PECOS Enrollment IDI20171117001219

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Susan Spivey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lipp, Carlson, Witucki & Associates, Ltd

Same address

Clinical

2808 17TH AVE S
Grand Forks, ND 58201

Reassigned Medicare billing, North Dakota enrollment
12 clinicians in this Medicare group

NPI 1043316961 (701) 746-8376

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $55.75 – $168.12

Typical copayment $0.00 (range $13.93 – $42.03)

Most-billed visit code NA

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JONATHAN E WHALEN PH.D.

Psychologist (Clinical)