Susan C Wilson, BA LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S0025117 Issued in OH

Practice address

8135 Mount Vernon Rd.
St. Lousiville, OH 43071

Phone

(888) 200-1296

Fax

(888) 206-4492

NPI assigned

Aug 29, 2017

Last updated

Aug 29, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• House of New Hope

  • Community/Behavioral Health Agency
  • St Louisville, OH
  • NPI 1134354475
  NPD (past)
• House of New Hope

  • Home Health Agency
  • St Louisville, OH
  • NPI 1619245016
  NPD (past)

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1780101857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 MOUNT VERNON RD.",
            "city": "ST. LOUSIVILLE",
            "state": "OH",
            "postal_code": "43071",
            "telephone_number": "888-200-1296",
            "fax_number": "888-206-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 MOUNT VERNON RD.",
            "city": "ST. LOUSIVILLE",
            "state": "OH",
            "postal_code": "43071",
            "telephone_number": "888-200-1296",
            "fax_number": "888-206-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SUSAN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "BA LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0025117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.