Susan Campbell McCachren

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C001258 Issued in NC

Practice address

155 Furman Rd
Boone, NC 28607-5049

Phone

(828) 262-9100

Fax

(828) 262-4157

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Crossroads Counseling Services

  • Mental Health Counselor
  • Jefferson, NC
  • NPI 1932168689
  NPD (past)
• Watauga Medical Center Inc

  • Land Ambulance
  • Boone, NC
  • NPI 1255120184
  NPD (past)
• Watauga Medical Center, Inc.

  • Psychiatry Physician
  • Boone, NC
  • NPI 1407921802
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407071996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 FURMAN RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075049",
            "telephone_number": "828-262-9100",
            "fax_number": "828-262-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 FURMAN RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075049",
            "telephone_number": "828-262-9100",
            "fax_number": "828-262-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCACHREN",
        "first_name": "SUSAN",
        "middle_name": "CAMPBELL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C001258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PASSAGES",
            "identifier": "07630",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meleah Jo Mauldin, D.C.
• Michael Joseph Mayhew, DDS MS HS
• John S Maynard, M.A., L.P.A.
• Elizabeth Louise Mays, LICENSED ESTHETICIAN
• Suzanne Elaine McAdams, M.D.
• Tess Avery McCain, DT
• Michael Scot McCann, DDS
• Julie McCarter
• Christopher McCracken, MD
• Gary McCullough, PH.D,CCC-SLP

• Social Worker in Boone, NC
• Providers in Boone, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.