Individual provider Active NPI

Susan Roberts, LCSW MO

  • Social Worker
  • Mission, KS
National Provider Identifier
1104535533
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2020043029 Issued in MO
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

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
2020043029MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Community Services Inc CurrentSince Dec 31, 2023 Accepting new patients
Bridges Community Services Inc CurrentSince Nov 20, 2022 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.

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.

Verify at the official NPI Registry.