Active NPI
Susan Roberts, LCSW MO
- Social Worker
- Mission, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2020043029
- Practice address
- 6865 W 51St Ter Apt 2B
Mission, KS 66202-1577 - Phone
- (913) 202-0234
- NPI assigned
- Nov 15, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 2020043029 | MO | Primary |
Addresses
Primary practice location
6865 W 51St Ter Apt 2B
Mission, KS 66202-1577
Mailing address
Bridgescommunityservices.Com
41197 Golden Gate Cir, Ste 104 Murrieta, Ca 92562
Murrieta, CA 92562
Phone (515) 444-8642
Other practice location 1
6409 Maple Dr
Mission, KS 66202-4317
Phone (913) 202-0234
Other practice location 2
2323 Swope Parkway
Several locations in the KCMO area
Kansas City, MO 64130
Phone (951) 290-2150 ext. 804
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | susanr@bridgescommunityservices.com | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020043029 | MO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridges Community Services Inc | Current | Accepting new patients | |
| Bridges Community Services Inc | Current | Accepting new patients |
Locations
41197 Golden Gate Cir
Ste 104
Murrieta, CA 92562
Phone (951) 290-7210
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.
-
- Mental Health Counselor
- Murrieta, CA
- NPI 1245009612
-
- Counselor
- Murrieta, CA
- NPI 1508582818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1104535533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BRIDGESCOMMUNITYSERVICES.COM",
"address_2": "41197 GOLDEN GATE CIR, STE 104 MURRIETA, CA 92562",
"city": "MURRIETA",
"state": "CA",
"postal_code": "92562",
"telephone_number": "515-444-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6865 W 51ST TER APT 2B",
"city": "MISSION",
"state": "KS",
"postal_code": "662021577",
"telephone_number": "913-202-0234"
}
],
"practiceLocations": [
{
"address_1": "6409 Maple Dr",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "KS",
"postal_code": "662024317",
"country_code": "US",
"telephone_number": "913-202-0234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2323 Swope Parkway",
"address_2": "Several locations in the KCMO area",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "64130",
"country_code": "US",
"telephone_number": "951-290-2150 x804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "SUSAN",
"credential": "LCSW MO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2023-09-14",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2020043029",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "susanr@bridgescommunityservices.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "house where business is typed up and sent",
"address_1": "6865 W 51st Ter Apt 2B",
"city": "Mission",
"state": "KS",
"country_code": "US",
"postal_code": "662021577",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.