Individual provider Active NPI

Susan Renee Gauger, MSSW, ACSW, LISW

  • Clinical Social Worker
  • Clive, IA
National Provider Identifier
1477610277
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00187 Issued in IA
Practice address
7405 University Ave Ste 6
Clive, IA 50325-1343
Phone
(515) 778-9658
Fax
(515) 277-6995
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 00187 IA
Clinical Social Worker 1041C0700X 00187 IA Primary

Addresses

Primary practice location

7405 University Ave Ste 6
Clive, IA 50325-1343

Mailing address

7405 University Ave Ste 6
Clive, IA 50325-1343
Phone (515) 778-9658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00187IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
SRG Counseling and Assessment Services, LLC Current Accepting new patients
Two Rivers Psychological Services, PC Social Worker Past Accepting new patients

Locations

7405 University Ave
Ste 6
Des Moines, IA 50325
Phone (515) 277-6991

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1477610277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 UNIVERSITY AVE STE 6",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503251343",
            "telephone_number": "515-778-9658",
            "fax_number": "515-277-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 UNIVERSITY AVE STE 6",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503251343",
            "telephone_number": "515-778-9658",
            "fax_number": "515-277-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUGER",
        "first_name": "SUSAN",
        "middle_name": "RENEE",
        "credential": "MSSW, ACSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "00187",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "00187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.