Individual provider Active NPI

Susan Carol Beeson, LMSW

  • Social Worker
  • Paola, KS
National Provider Identifier
1760293757
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
3831 Issued in KS
Practice address
100 Lakemary Dr
Paola, KS 66071-1855
Phone
(913) 359-6851
Fax
(913) 557-4910
NPI assigned
Jan 17, 2025
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3831 KS Primary

Addresses

Primary practice location

100 Lakemary Dr
Paola, KS 66071-1855

Mailing address

100 Lakemary Dr
Paola, KS 66071-1855
Phone (913) 535-4722

Other practice location 1

15145 S Keeler St
Olathe, KS 66062-2746
Phone (913) 359-6851

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
3831KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lakemary Center, Inc. Multi-Specialty Past Accepting new patients
Lakemary Center, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1760293757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAKEMARY DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711855",
            "telephone_number": "913-535-4722",
            "fax_number": "913-535-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKEMARY DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711855",
            "telephone_number": "913-359-6851",
            "fax_number": "913-557-4910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15145 S Keeler St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660622746",
            "country_code": "US",
            "telephone_number": "913-359-6851",
            "fax_number": "913-557-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEESON",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "3831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.