Susan Cason-Parks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

35503 Issued in TX

Practice address

5620 Old Bullard Rd Suite 111
Tyler, TX 75703-4358

Phone

(903) 534-1956

Fax

(903) 534-1956

NPI assigned

Oct 13, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• East Texas Mental Health Associates

  • Clinical Social Worker
  • Tyler, TX
  • NPI 1649495235
  NPD (past)
• Joyce Foreman Shayler

  • Mental Health Counselor
  • Tyler, TX
  • NPI 1083707947
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1992793889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 BROOKWOOD DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019685",
            "telephone_number": "903-534-1956",
            "fax_number": "903-534-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 OLD BULLARD RD SUITE 111",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034358",
            "telephone_number": "903-534-1956",
            "fax_number": "903-534-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASON-PARKS",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177504101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Payton Brianne Carver
• Regina D Carver
• Frances Doreen Casanova, CNM
• Lacey Case
• Stormy Case
• Vicki Cason
• Helen C Cassel, RN NPC
• Alicia Castaneda
• Elizabeth Castaneda
• Natali Castaneda

• Clinical Social Worker in Tyler, TX
• Providers in Tyler, 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 Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.