Organization Active NPI

Susan Myers, LCSW Inc

  • Clinical Social Worker
  • Norton, VA
National Provider Identifier
1619383072
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001549 Issued in VA
Legal business name
SUSAN MYERS, LCSW INC
Practice address
611 Trent St NE
Norton, VA 24273-1533
Phone
(276) 275-6789
Fax
(276) 679-2174
NPI assigned
Jul 7, 2014
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Ms. Susan G Myers, LCSWNPI 1053314799
Title
Owner
Phone
(276) 275-6789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904001549 VA Primary

Addresses

Primary practice location

611 Trent St NE
Norton, VA 24273-1533

Mailing address

611 Trent St NE
Norton, VA 24273-1533
Phone (276) 275-6789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140922000518 VA Part B Supplier - Clinic/Group Practice 7810116001 Receives reassigned benefits from 1 practitioner
Practice locations: Norton, VA

National Provider Directory

National Provider Directory

Locations

338 Coeburn Ave SW
Norton, VA 24273
Phone (276) 679-0800

611 Trent St NE
Norton, VA 24273
Phone (276) 679-4114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1619383072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 TRENT ST NE",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731533",
            "telephone_number": "276-275-6789",
            "fax_number": "276-679-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 TRENT ST NE",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731533",
            "telephone_number": "276-275-6789",
            "fax_number": "276-679-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MYERS, LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-275-6789",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.