Suzanne Pauline Kiesz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW83216 Issued in CA

Practice address

Creekside Counseling Associates
8861 Williamson Drive, Suite 40
Elk Grove, CA 95624-1878

Phone

(916) 842-5229

Fax

(916) 670-7880

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1164035259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CREEKSIDE COUNSELING ASSOCIATES",
            "address_2": "8861 WILLIAMSON DRIVE, SUITE 40",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241878",
            "telephone_number": "916-842-5229",
            "fax_number": "916-670-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CREEKSIDE COUNSELING ASSOCIATES",
            "address_2": "8861 WILLIAMSON DRIVE, SUITE 40",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241878",
            "telephone_number": "916-842-5229",
            "fax_number": "916-670-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESZ",
        "first_name": "SUZANNE",
        "middle_name": "PAULINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW83216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmoud Khattab, MD
• Rosemary Wangui Kiama
• Kenton Earl Kiaser, D.D.S.
• Beyene Teclehaiman Kidane
• Kimberly Kidane
• Linda Lee Kilgore
• Blossom Kim
• Ji Ho Kim
• Lin Kim
• Min Young Kim

• Clinical Social Worker in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.