Individual provider Active NPI

Susan Carol Kuyper, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1114229218
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64034 Issued in CA
Practice address
1525 Silver Ave
San Francisco, CA 94134-1229
Phone
(415) 337-2403
Fax
(415) 330-5740
NPI assigned
Nov 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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 64034 CA Primary

Addresses

Primary practice location

1525 Silver Ave
San Francisco, CA 94134-1229

Mailing address

3905 Mission St
San Francisco, CA 94112-1014
Phone (415) 580-2456

Other names 1

  • Ms. Sue Kuyper Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
64034CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1114229218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121014",
            "telephone_number": "415-580-2456",
            "fax_number": "415-657-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 SILVER AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941341229",
            "telephone_number": "415-337-2403",
            "fax_number": "415-330-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYPER",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "64034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "KUYPER",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.