SUZANNE SOUDERS LCSW PLLC
NPI 1164073813
Clinic/Center in Kilmarnock, VA
About Suzanne Souders Lcsw Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUZANNE SOUDERS LCSW PLLC (NPI 1164073813) is a healthcare organization registered as a clinic/center in Kilmarnock, Virginia and active in the NPI registry since September 2019. The organization lists M Suzanne Souders, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Suzanne Souders Lcsw Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Suzanne Souders Lcsw PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Suzanne Souders Lcsw PLLC's NPI number?
The NPI number for Suzanne Souders Lcsw PLLC is 1164073813. It was assigned to this organization in the NPPES registry on September 24, 2019.
Where is Suzanne Souders Lcsw PLLC located?
Suzanne Souders Lcsw PLLC is located at 25 Office Park Dr Ste 2, Kilmarnock, VA 22482. The listed phone number is (804) 577-0186.
What is Suzanne Souders Lcsw PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Suzanne Souders Lcsw PLLC enrolled in Medicare?
Yes. Suzanne Souders Lcsw PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Suzanne Souders Lcsw PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Suzanne Souders Lcsw PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Suzanne Souders Lcsw PLLC was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Suzanne Souders Lcsw Pllc · NPI 1164073813
Clinic/Center organization in Kilmarnock, Virginia. Organization record, active in the CMS NPPES registry since September 24, 2019.
## Identity
- **NPI:** 1164073813 (Entity type: Organization)
- **Enumerated:** September 24, 2019
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** M Souders, OWNER
## Practice location
- **Address:** 25 OFFICE PARK DR STE 2, Kilmarnock, VA 22482-2805
- **Phone:** (804) 577-0186
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1164073813) · Data from the CMS NPPES public registry.