Susanna Mari Doss

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64719 Issued in TX

Practice address

8414 Old McGregor Rd Unit B
Woodway, TX 76712-6496

Phone

(254) 716-0115

NPI assigned

Apr 11, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Susanna Doss Counseling Services, PLLC

  • Clinical Social Worker
  • Woodway, TX
  • NPI 1508580994
  NPD Authorized official

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1861134843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 LISTER DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767122119",
            "telephone_number": "254-716-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 OLD MCGREGOR RD UNIT B",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126496",
            "telephone_number": "254-716-0115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Old Hewitt Rd",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767126560",
            "country_code": "US",
            "telephone_number": "254-327-1408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSS",
        "first_name": "SUSANNA",
        "middle_name": "MARI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "thrivewaco.theranest.com",
            "affiliation": "Y",
            "affiliationName": "Thrive Wellness of Texas PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "205 Old Hewitt Rd",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767126560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wakiki Shonta Dawkins
• DCS Medical PA
• Deep Wells Therapy, PLLC
• Latoya S Degrate, RBT
• Hannah Dokter, PTA
• David Sontag Dow, M. D.
• Kiesha Drake
• Celeste Eastwood, DO
• Kendra Eaton
• Sylvia Hannah Edwards, LPC

• Clinical Social Worker in Woodway, TX
• Providers in Woodway, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.