Individual provider Active NPI

Suzanna Jo Hodges, LCSW

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1932402385
Registry record updated Dec 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29216 Issued in TX
Practice address
1523 Brookleaf Dr
Arlington, TX 76018-3057
Phone
(469) 323-3663
NPI assigned
Dec 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29216 TX Primary

Addresses

Primary practice location

1523 Brookleaf Dr
Arlington, TX 76018-3057

Mailing address

1523 Brookleaf Dr
Arlington, TX 76018-3057
Phone (469) 323-3663

Other names 1

  • Suzanna Jo Bush/Simonton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000099 TX Practitioner - Clinical Social Worker 2961460126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1000 Post and Paddock St
Suite 102
Grand Prairie, TX 75050-1114
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kotel Atx CurrentSince Dec 9, 2021 Accepting new patients
Thrive Counseling LLC CurrentSince Apr 11, 2024 Accepting new patients
Mental Healtlh Outreach, PA Past Accepting new patients

Locations

1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050

3001 Bee Caves Rd
Ste 220
West Lake Hills, TX 78746

Organizations & group practices 3

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": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1932402385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 BROOKLEAF DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760183057",
            "telephone_number": "469-323-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 BROOKLEAF DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760183057",
            "telephone_number": "469-323-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "SUZANNA",
        "middle_name": "JO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "29216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNA",
            "last_name": "BUSH/SIMONTON",
            "middle_name": "JO",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.