Individual provider Active NPI

Susan Frank

  • Clinical Social Worker
  • Woodland Hills, CA
National Provider Identifier
1124287883
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7583 Issued in CA
Practice address
6267 Variel Ave
Suite B
Woodland Hills, CA 91367-2512
Phone
(818) 657-0411
Fax
(818) 657-0406
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 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 7583 CA Primary

Addresses

Primary practice location

6267 Variel Ave
Suite B
Woodland Hills, CA 91367-2512

Mailing address

1977 N Garey Ave
Suite B
Pomona, CA 91767-2774
Phone (909) 623-6651

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
7683CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Darrell Broaddus Psychological Services PC Past Accepting new patients

Organizations & group practices 1

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1124287883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 N GAREY AVE",
            "address_2": "SUITE B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672774",
            "telephone_number": "909-623-6651",
            "fax_number": "909-623-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6267 VARIEL AVE",
            "address_2": "SUITE B",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672512",
            "telephone_number": "818-657-0411",
            "fax_number": "818-657-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "7583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.