Susan Diane Warren, MSW, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C014161 Issued in NC

Practice address

117 Holden Beach Rd SW Ste 109
Shallotte, NC 28470-1787

Phone

(910) 233-6257

Fax

(910) 782-0428

NPI assigned

Jul 2, 2020

Last updated

Jul 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Susan Warren Professional name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Growth & Healing Center PLLC

  • Clinical Social Worker
  • Shallotte, NC
  • NPI 1548155914
  NPD Authorized official
• Trinity Wellness Center of Wilmington Inc

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1841382173
  NPD (past)

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1689291858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 TANNER DR SW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284705293",
            "telephone_number": "910-574-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HOLDEN BEACH RD SW STE 109",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284701787",
            "telephone_number": "910-233-6257",
            "fax_number": "910-782-0428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 Tanner Dr SW",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284705293",
            "country_code": "US",
            "telephone_number": "910-574-8683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "P013719",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P013719",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C014161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WARREN",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ward & Michelakis, DDS, PA
• Aaron Scott Ward, DDS
• John David Ward, D.D.S.
• Marcus Brian Ward, D.M.D
• Abigail Cristine Warren, DMD
• Waterside Healthcare Inc. (Shallotte Assisted Living)
• Melissa Buckner Wayne, NP-C
• Debra C Webb, OD
• Monique Weddle, D.C.
• Brooke Malanga Weissman, MPT

• Mental Health Counselor in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.