SUSAN PRILL-WALLACE
NPI 1578193363
Social Worker in Midland, MI

Q: What is Susan Prill-wallace's NPI number?

The NPI number for Susan Prill-wallace is 1578193363. It was assigned to this individual provider in the NPPES registry on January 21, 2020.

Q: What is Susan Prill-wallace's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since January 21, 2020PECOS EnrolledAccepts Medicare Assignment

720 W WACKERLY ST STE 11, MIDLAND, MI 48640(989) 832-2165 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2021, Jan 21, 2020 (2 updates tracked since 2020).

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About Susan Prill-wallace NPPES

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

SUSAN PRILL-WALLACE (NPI 1578193363) is an individual social worker in Midland, Michigan, licensed in Michigan (6801113743) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1578193363

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSUSAN PRILL-WALLACE

Location Address720 W WACKERLY ST STE 11Midland, MI 48640-2769

Mailing Address3785 Bay RdSaginaw, MI 48603-2433 · (989) 791-2455

Phone(989) 832-2165

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 21, 2020

Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration

NPPES CertifiedNovember 30, 2021

✔ NPI 1578193363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Licenses✔ Licensed in MI · 6801113743✔ Licensed in MI · 6801099668

Definition

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.

720 W WACKERLY ST STE 11, Midland, MI 48640

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Prill-wallace 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 ID1759771686

PECOS Enrollment IDI20211207002060

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

173 services19 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

16 services16 patients

Other Providers at the Same Location NPPES 20

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

AMANDA LINDEMULDER LLPC

Counselor (Professional)