Susan Sugarman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS18826 Issued in CA

Practice address

4283 Piedmont Ave
Suite E6
Oakland, CA 94611-4758

Phone

(510) 206-9746

NPI assigned

Feb 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1053384677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SUNNYHILLS RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101818",
            "telephone_number": "510-206-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4283 PIEDMONT AVE",
            "address_2": "SUITE E6",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114758",
            "telephone_number": "510-206-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGARMAN",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CSW188260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Sue, M.D.
• Phoebe Suehiro
• Halton Suen, DDS
• Asuka Sugano
• Tessa Sugarbaker, M.D.
• Evelyn Yen-Li Sugihto
• Jennifer Sugijanto, MD
• Brent K. Sugimoto, MD
• Joy Naomi Sugimura, O.D.
• Linda Sugimura, RD,CSP

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.