Individual provider Active NPI

Suzanne M Sexton

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1104009190
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW122908 Issued in CA
Practice address
15675 Avenida Alcachofa Apt B
San Diego, CA 92128-4451
Phone
(619) 955-2498
NPI assigned
Dec 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 321335-3501 UT
Clinical Social Worker 1041C0700X SW21250 FL
Clinical Social Worker 1041C0700X LCSW122908 CA Primary

Addresses

Primary practice location

15675 Avenida Alcachofa Apt B
San Diego, CA 92128-4451

Mailing address

15675 Avenida Alcachofa Apt B
San Diego, CA 92128-4451
Phone (619) 955-2498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV, UT, AZ, CA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20230504000706 FL Practitioner - Clinical Social Worker 9436524220 Reassigns benefits to 1 organization
I20230525002043 NV Practitioner - Clinical Social Worker 9436524220 Reassigns benefits to 1 organization
I20230525003409 UT Practitioner - Clinical Social Worker 9436524220 Reassigns benefits to 1 organization
I20230822003770 AZ Practitioner - Clinical Social Worker 9436524220 Reassigns benefits to 1 organization
I20240626003731 CA Practitioner - Clinical Social Worker 9436524220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Life Ca PCGroup PAC ID 3173989332, 34 clinicians

Practice addresses (Care Compare)

6080 Ctr Dr
FL 6
Los Angeles, CA 90045-9205
Phone (800) 567-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW122908CAMDClinical Social Worker
SW21250FLMDClinical Social Worker
321335-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Ca, P.C. CurrentSince Jan 1, 2022 Accepting new patients

Locations

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

6080 Center Dr
Fl 6
Westchester, CA 90045
Phone (669) 231-6870

110 Front St
Jupiter, FL 33477
Phone (561) 839-9653

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

2300 W Sahara Ave
Las Vegas, NV 89102
Phone (702) 815-9012

240 N East Promontory
Farmington, UT 84025
Phone (385) 390-3579

240 N East Promontory
Ste 200
Farmington, UT 84025
Phone (801) 218-3500

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1104009190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15675 AVENIDA ALCACHOFA APT B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284451",
            "telephone_number": "619-955-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15675 AVENIDA ALCACHOFA APT B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284451",
            "telephone_number": "619-955-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXTON",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "321335-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21250",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW122908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.