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Deactivated NPI 1841290111 Deactivated / Inactive NPI Female Practitioner

Susan Diane Wason , MSW LCSW

Counselor • Fayette, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Susan Wason has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 28, 2005
NPI Deactivation Date February 03, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Susan Wason, MSW LCSW was a registered Counselor practicing in Fayette, MO. Throughout an active medical career spanning 17 years, Susan Wason provided care at the practice location at 600 WEST MORRISON ST. until profile deactivation on 2022-02-03.

Practice Location & Contact Primary Location

Practice Address

600 West Morrison St.

Fayette, MO 65248

Telephone 6602022720

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Fayette, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Fayette, MO (1111 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License MO 004303

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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NPI Profile Deactivated February 03, 2022

Record deactivated on February 03, 2022

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Updated Practice Location May 14, 2018

Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804 (Tel: 4177615000)

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Updated Business Mailing Address May 14, 2018

Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2018

Social Worker (License #004303 in MO)

NPI Profile Active February 10, 2009

NPI status registered as active in NPPES database

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Updated Practice Location February 10, 2009

Registered at 600 WEST MORRISON ST., FAYETTE, MO 65248 (Tel: 6602022720)

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Updated Business Mailing Address February 10, 2009

Registered at BOX 406, COUNTY ROAD 404, FAYETTE, MO 65248 (Tel: 6602022720)

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Provider Name / Credentials Updated February 10, 2009

Recorded as SUSAN WASON, MSW LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2009

Counselor (License #004303 in MO)

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Initial NPI Registration & Enumeration July 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841290111
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2005
Last Update: February 10, 2009
Deactivation Date: February 03, 2022

Mailing Address

Box 406, County Road 404

Fayette, MO 65248

Phone: 6602022720

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.