Active NPI
Susan Kaye Weber
- Clinical Social Worker
- Mitchell, SD
National Provider Identifier
1922748532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6764
- Practice address
- 115 E Havens Ave Ste 106
Mitchell, SD 57301-4462 - Phone
- (605) 301-8720
- Fax
- (605) 942-7300
- NPI assigned
- Mar 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 01051150 | SD | |
| Clinical Social Worker | 1041C0700X | 6764 | SD | Primary |
Addresses
Primary practice location
115 E Havens Ave Ste 106
Mitchell, SD 57301-4462
Mailing address
115 E Havens Ave Ste 106
Mitchell, SD 57301-4462
Phone (605) 301-8720
Other names 1
- Miss Susan Kaye Wagner
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 |
|---|---|---|---|
| 01051150 | SD | MD | Addiction (Substance Use Disorder) Counselor |
| 6764 | SD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finding Hope Counseling LLC | Clinical | Current | Accepting new patients |
| Finding Hope Counseling LLC | Clinical | Current | Accepting new patients |
Locations
115 E Havens Ave
Ste 106
Mitchell, SD 57301
Phone (605) 301-8720
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 and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Mitchell, SD
- NPI 1841930138
Clinical
-
- Clinical Social Worker
- Mitchell, SD
- NPI 1922804392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1922748532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E HAVENS AVE STE 106",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573014462",
"telephone_number": "605-301-8720",
"fax_number": "605-942-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E HAVENS AVE STE 106",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573014462",
"telephone_number": "605-301-8720",
"fax_number": "605-942-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "SUSAN",
"middle_name": "KAYE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-31",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SD",
"license": "01051150",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "6764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "WAGNER",
"middle_name": "KAYE",
"prefix": "MISS",
"credential": "BA, LAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mitchell, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.