Susan Severson, MSW, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1945 Lakepointe Dr
Lewisville, TX 75057-6469

Phone

(855) 224-7315

NPI assigned

Sep 30, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susanseverson@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666396800000",
    "number": "1245847409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "BRISTOL",
            "state": "IL",
            "postal_code": "605120203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 LAKEPOINTE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576469",
            "telephone_number": "855-224-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "SUSAN",
        "credential": "MSW, LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2022-10-22",
        "certification_date": "2022-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "endpointDescription": "https://provider.teladoc.com/signin",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information",
            "address_1": "1945 Lakepointe Dr Ste 100",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750576470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Serene Moments Hospice Care LLC
• Serene Smiles Dentistry PLLC
• Seva Anesthesia Services TX PLLC
• Seva Healthcare
• Seva Pain and Wellness
• Rudy Seward, O.T.
• Sunny Michelle Sewell, LPC
• Moiz Mustanshir Shafiq, MD
• Hardik A Shah, M.D.
• Namrata B Shah

• Clinical Social Worker in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.