Individual provider Active NPI

Susan Dee Hodges

  • Clinical Social Worker
  • West Haven, UT
National Provider Identifier
1104333673
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4816499-3501 Issued in UT
Practice address
4640 S 3500 W Ste 4
West Haven, UT 84401-6522
Phone
(801) 603-4792
NPI assigned
Jan 5, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4640 S 3500
Suite 4
West Haven, UT 84401-6522
Phone (801) 603-4792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210330001617 UT Practitioner - Clinical Social Worker 1355758863 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4816499-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Counseling PLLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

4640 S 3500 W
Ste 4
West Haven, UT 84401
Phone (385) 551-2933

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4816499-3501 UT Primary

Addresses

NPPES NPI Registry

Primary practice location

4640 S 3500 W Ste 4
West Haven, UT 84401-6522

Mailing address

4640 S 3500 W Ste 4
West Haven, UT 84401-6522
Phone (801) 603-4792

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 15, 2026.

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1104333673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 S 3500 W STE 4",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844016522",
            "telephone_number": "801-603-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 S 3500 W STE 4",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844016522",
            "telephone_number": "801-603-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "SUSAN",
        "middle_name": "DEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "4816499-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, UT

Sources for this page

Verify at the official NPI Registry.