Ms Susan Ora Williams, MSW, LICSW in Plymouth, MN - Medicare Clinical Social Worker Provider

Ms Susan Ora Williams, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Plymouth, Minnesota. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Affinity Psychological Services Pc and her current practice location is 3251 Fernbrook Ln N, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 268-5858.

Ms Susan Ora Williams is licensed to practice in Minnesota (license number 29948) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1487195327.

Contact Information

	Ms Susan Ora Williams, MSW, LICSW
	3251 Fernbrook Ln N, Plymouth, MN 55447-5352
	(612) 268-5858
	(612) 268-5868

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Susan Ora Williams
Gender	Female
Speciality	Clinical Social Worker
Experience	5 Years
Location	3251 Fernbrook Ln N, Plymouth, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Susan Ora Williams graduated from medical school in 2021

NPI Data:

NPI Number: 1487195327
Provider Enumeration Date: 03/11/2017
Last Update Date: 12/09/2025

Medicare PECOS Information:

PECOS PAC ID: 6204283054
Enrollment ID: I20231115003290

Medical Identifiers

Medical identifiers for Ms Susan Ora Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487195327	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	29948 (Minnesota)	Primary
225700000X	Massage Therapist	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Affinity Psychological Services Pc	0749528552	48

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Susan Ora Williams allows following entities to bill medicare on her behalf.

Entity Name	Affinity Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Susan Ora Williams is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Susan Ora Williams, MSW, LICSW 7401 Metro Blvd Ste 250, Edina, MN 55439-3062 Ph: (612) 268-5858	Ms Susan Ora Williams, MSW, LICSW 3251 Fernbrook Ln N, Plymouth, MN 55447-5352 Ph: (612) 268-5858

Reviews and Comments

Social Worker in Plymouth, MN

Katelyn Sarah Kubista, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10000 Hwy 55 Ste 200, Plymouth, MN 55441 Phone: 586-707-7085
Danielle Norgren, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3251 Fernbrook Ln N, Plymouth, MN 55447 Phone: 612-268-5858
Yolonda Yvette Rogers, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2415 Upland Ln N Unit A, Plymouth, MN 55447 Phone: 612-385-0991
Ying P Elliott, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 10700 Old County Road 15 Ste 170, Plymouth, MN 55441 Phone: 763-525-8590 Fax: 763-525-8592
Jamie Schley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9800 Rockford Rd, Suite 100, Plymouth, MN 55442 Phone: 952-460-9045
Julian Walter Sachs, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10000 Hwy 55 Ste 200, Plymouth, MN 55441 Phone: 651-243-0149
Laura Michelle Groeneweg, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3033 Campus Dr Ste E180, Plymouth, MN 55441 Phone: 524-609-0869 Fax: 763-416-0916

Ms Susan Ora Williams, MSW, LICSW - Medicare Clinical Social Worker in Plymouth, MN