SUSAN SHIRING DODGE LCSW
NPI 1609888387
Counselor - Professional in Dallas, TX
About Susan Shiring Dodge Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN SHIRING DODGE LCSW (NPI 1609888387) is an individual professional provider in Dallas, Texas, licensed in Texas (21865) and active in the NPI registry since August 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Susan Shiring Dodge Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dodge's NPI number?
The NPI number for Susan Dodge is 1609888387. It was assigned to this individual provider in the NPPES registry on August 12, 2006. The provider is also known as Susan J Shiring.
Where is Susan Dodge located?
Susan Dodge practices at 4925 Greenville Ave Ste 1125, Dallas, TX 75206. The listed phone number is (972) 918-0170.
What is Susan Dodge's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Susan Dodge enrolled in Medicare?
No. Susan Dodge has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Susan Dodge was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Susan Shiring Dodge, LCSW · NPI 1609888387
Professional provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since August 12, 2006.
## Identity
- **NPI:** 1609888387 (Entity type: Individual)
- **Enumerated:** August 12, 2006
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 21865 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4925 GREENVILLE AVE STE 1125, Dallas, TX 75206-0501
- **Phone:** (972) 918-0170
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1609888387) · Data from the CMS NPPES public registry.