Individual provider Active NPI

Susan Kaye Weber

  • Clinical Social Worker
  • Mitchell, SD
National Provider Identifier
1922748532
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6764 Issued in SD
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

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
01051150SDMDAddiction (Substance Use Disorder) Counselor
6764SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.