Individual provider Active NPI

Suelen D. Yancor, M.S.W.

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1063621811
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
75646 Issued in CA
Practice address
10401 Enger St
Bakersfield, CA 93312-2726
Phone
(818) 213-1045
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118593 MA
Clinical Social Worker 1041C0700X 75646 CA Primary

Addresses

Primary practice location

10401 Enger St
Bakersfield, CA 93312-2726

Mailing address

13061 Rosedale Hwy Ste G-502
Bakersfield, CA 93314-7612
Phone (818) 213-1045

Other identifiers 1

IdentifierTypeStateIssuer
1309587MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118003442 CA Order and Referring Only - Clinical Social Worker 5698127249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75646CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Suelen Yancor Licensed Clinical Social Worker Professional Corporation CurrentSince Feb 23, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1063621811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13061 ROSEDALE HWY STE G-502",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933147612",
            "telephone_number": "818-213-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 ENGER ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122726",
            "telephone_number": "818-213-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCOR",
        "first_name": "SUELEN",
        "middle_name": "D.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118593",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309587",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.