MEDICARE: SUSAN M ROHR LSCSW LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1366195927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSAN M ROHR LSCSW LLC

Provider Business Mailing Address
First Line	:	1023 WASHINGTON RD STE D
Second Line	:
City	:	NEWTON
State	:	KS
Zip	:	67114-4447
Country	:	US
Telephone Number	:	316-288-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N MAIN ST STE 156
Second Line	:
City	:	NEWTON
State	:	KS
Zip	:	67114-2211
Country	:	US
Telephone Number	:	316-288-0000
Fax Number	:

Authorized Official
Title or Position	:	BILLER, OFFICE MANAGER
Name	:	DELISA MERRY
Credential	:
Telephone Number	:	785-243-6907

Provider Enumeration Date	:	02/02/2022
Last Update Date	:	03/11/2026

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