Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. SUSAN LORRAINE TOLES 101YA0400X
NPI 1225209349
Social Worker - Clinical in Tooele, UT

Active since March 17, 2008PECOS Enrolled
100 S 1000 W, TOOELE, UT 84074(888) 949-4864 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Susan Lorraine Toles 101ya0400x NPPES

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

MS. SUSAN LORRAINE TOLES 101YA0400X (NPI 1225209349) is an individual clinical provider in Tooele, Utah, licensed in Utah (9539674-3501) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1225209349
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SUSAN LORRAINE TOLESCredential: 101YA0400X
Location Address100 S 1000 WTooele, UT 84074-4010
Mailing Address3725 W 4100 S Ste 201West Valley City, UT 84120-6490 · (888) 949-4864
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 17, 2008
Last NPPES UpdateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
NPI 1225209349 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 UT · 9539674-3501
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.
100 S 1000 W, Tooele, UT 84074

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Susan Lorraine Toles 101ya0400x is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527353739
PECOS Enrollment IDI20160826002408
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
42 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84074 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 $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
100 S 1000 W
TOOELE, UT 84074
Community Health Worker
100 S 1000 W
TOOELE, UT 84074
Community Health Worker
100 S 1000 W
TOOELE, UT 84074
Counselor (Mental Health)
100 S 1000 W
TOOELE, UT 84074
Case Manager/Care Coordinator
100 S 1000 W
TOOELE, UT 84074
Social Worker
100 S 1000 W
TOOELE, UT 84074
Psychiatry & Neurology (Psychiatry)
100 S 1000 W
TOOELE, UT 84074
Peer Specialist
100 S 1000 W
TOOELE, UT 84074

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 Toles's NPI number?

The NPI number for Susan Toles is 1225209349. It was assigned to this individual provider in the NPPES registry on March 17, 2008.

Where is Susan Toles located?

Susan Toles practices at 100 S 1000 W, Tooele, UT 84074. The listed phone number is (888) 949-4864.

What is Susan Toles's specialty?

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

Is Susan Toles enrolled in Medicare?

Yes. Susan Toles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Toles accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Susan Toles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Toles was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.