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SUSAN ELIZABETH ELLWANGER LCSW
NPI 1134098163
Social Worker - Clinical in Lott, TX

Active since October 29, 2025PECOS Enrolled
401 E FALLS RD, LOTT, TX 76656(254) 598-8001 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Elizabeth Ellwanger Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN ELIZABETH ELLWANGER LCSW (NPI 1134098163) is an individual clinical provider in Lott, Texas, licensed in Texas (67470) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1134098163
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN ELIZABETH ELLWANGERCredential: LCSW
Location Address401 E FALLS RDLott, TX 76656-4056
Mailing Address401 E Falls RdLott, TX 76656-4056 · (254) 598-8001
Phone(254) 598-8001
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1134098163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 67470
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
401 E FALLS RD, Lott, TX 76656
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Elizabeth Ellwanger Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507350873
PECOS Enrollment IDI20251215000088
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76656 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Ellwanger's NPI number?

The NPI number for Susan Ellwanger is 1134098163. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Where is Susan Ellwanger located?

Susan Ellwanger practices at 401 E Falls Rd, Lott, TX 76656. The listed phone number is (254) 598-8001.

What is Susan Ellwanger's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Susan Ellwanger enrolled in Medicare?

Yes. Susan Ellwanger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Ellwanger was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.