Active NPI
Susan C Bacalman, M.S.W.
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1013068436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20157
- Practice address
- 2825 50TH St
Sacramento, CA 95817-2308 - Phone
- (916) 703-0305
- Fax
- (916) 703-0340
- NPI assigned
- Jan 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20157 | CA | Primary |
Addresses
Primary practice location
2825 50TH St
Sacramento, CA 95817-2308
Mailing address
2620 Nevelson CT
Davis, CA 95616-7667
Phone (530) 753-3265
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20157 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013068436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 NEVELSON CT",
"city": "DAVIS",
"state": "CA",
"postal_code": "956167667",
"telephone_number": "530-753-3265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 50TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172308",
"telephone_number": "916-703-0305",
"fax_number": "916-703-0340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACALMAN",
"first_name": "SUSAN",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "20157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.