Individual provider Active NPI

Sue Moravec, MSW

  • Clinical Social Worker
  • Lancaster, CA
National Provider Identifier
1003362047
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW104828 Issued in CA
Practice address
43520 Division St
Lancaster, CA 93535
Phone
(661) 266-4783
Fax
(661) 266-1210
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW83879 CA
Clinical Social Worker 1041C0700X ASW83879 CA
Clinical Social Worker 1041C0700X CA
Student in an Organized Health Care Education/Training Program 390200000X CA
Clinical Social Worker 1041C0700X LCSW104828 CA Primary

Addresses

Primary practice location

43520 Division St
Lancaster, CA 93535

Mailing address

43520 Division St
Lancaster, CA 93535-4089
Phone (661) 266-4783

Other practice location 1

40005 10th St W Ste 106
Palmdale, CA 93551
Phone (661) 265-8627 ext. 2784

Other practice location 2

40005 10th St W Ste 106
Palmdale, CA 93551
Phone (661) 265-8627 ext. 2784

Other practice location 3

506 W Jackman St
Lancaster, CA 93534-2531
Phone (661) 726-2850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW83879CAMDMental Health Counselor
LCSW104828CAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1003362047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43520 DIVISION ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354089",
            "telephone_number": "661-266-4783",
            "fax_number": "661-266-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43520 DIVISION ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93535",
            "telephone_number": "661-266-4783",
            "fax_number": "661-266-1210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40005 10th St W Ste 106",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "93551",
            "country_code": "US",
            "telephone_number": "661-265-8627 x2784",
            "fax_number": "661-265-7936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40005 10th St W Ste 106",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "93551",
            "country_code": "US",
            "telephone_number": "661-265-8627 x2784",
            "fax_number": "661-265-7936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 W Jackman St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342531",
            "country_code": "US",
            "telephone_number": "661-726-2850",
            "fax_number": "661-726-2854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAVEC",
        "first_name": "SUE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW83879",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW83879",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW104828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.