Individual provider Active NPI

Susan Friend, MSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1083811327
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 3422 Issued in AZ
Practice address
3240 E Union Hills Dr
Ste 149
Phoenix, AZ 85050-2652
Phone
(602) 274-1616
Fax
(602) 274-0141
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 3422 AZ Primary

Addresses

Primary practice location

3240 E Union Hills Dr
Ste 149
Phoenix, AZ 85050-2652

Mailing address

3240 E Union Hills Dr
Ste 149
Phoenix, AZ 85050-2652
Phone (602) 274-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20121016000469 AZ Practitioner - Clinical Social Worker 1355591934 Practice locations: Phoenix, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3240 E Union Hills Dr
Suite 149
Phoenix, AZ 85050-2652
Phone (602) 274-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 3422AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1083811327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 E UNION HILLS DR",
            "address_2": "STE 149",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850502652",
            "telephone_number": "602-274-1616",
            "fax_number": "602-274-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 E UNION HILLS DR",
            "address_2": "STE 149",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850502652",
            "telephone_number": "602-274-1616",
            "fax_number": "602-274-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEND",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW 3422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.