Active NPI
Suson Swift Wheeler, LCSW
- Social Worker
- Fayetteville, AR
National Provider Identifier
1902385214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8926-M
- Practice address
- 14545 Dogwood Dr
Fayetteville, AR 72704-8031 - Phone
- (479) 684-6098
- NPI assigned
- Aug 8, 2018
- Last updated
- Feb 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8926-M | AR | Primary |
Addresses
Primary practice location
14545 Dogwood Dr
Fayetteville, AR 72704-8031
Mailing address
14545 Dogwood Dr
Fayetteville, AR 72704-8031
Phone (479) 684-6098
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8926-M | AR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1902385214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14545 DOGWOOD DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727048031",
"telephone_number": "479-684-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14545 DOGWOOD DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727048031",
"telephone_number": "479-684-6098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "SUSON",
"middle_name": "SWIFT",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "8926-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.