Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan Prill-Wallace

Individual provider Social Worker · NPI 1578193363

Susan Prill-Wallace is a Clinical Social Worker in Midland, Michigan. Qualified in 2016, 10 years ago. Practices with Partners in Change Psychological and Community Services, PLC, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

720 W Wackerly St Ste 11
Midland, MI 48640-2769
Phone: (989) 832-2165
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801113743 (MI)
Social Worker Taxonomy 104100000X · Licence 6801099668 (MI)

Record details

NPI number1578193363
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2020
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021
Mailing address3785 Bay Rd, Saginaw, MI 48603-2433

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Partners In Change Psychological And Community Services, Plc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Midland