Susan J Shiring LCSW PA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

21865 Issued in TX

Legal business name

SUSAN J SHIRING LCSW PA

Practice address

4925 Greenville Ave Ste 1125
Dallas, TX 75206-0501

Phone

(972) 918-0170

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Susan Shiring Dodge

Title

LCSW

Phone

(214) 808-1543

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1386801876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "QUITMAN",
            "state": "TX",
            "postal_code": "757830638",
            "telephone_number": "214-808-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE STE 1125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752060501",
            "telephone_number": "972-918-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN J SHIRING LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "SHIRING",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "214-808-1543"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "21865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariba Surtee, MD
• Lucas Martinus Suryakusuma, MPAS, PA-C
• Sus-Spencer Enterprises LLC
• Joseph Stephen Susa, DO
• Susan Bacsik DO PLLC
• Susan Knapton MD PLLC
• Susan R Jaros Crna PC
• Susan Talmage, PHD, PA
• Susie Hair, PLLC, LCSW
• Richard A. Suss, M.D.

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.