Rain Elizabeth Sussman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24165 Issued in CA

Practice address

1903 Berkeley Way
Berkeley, CA 94704-1007

Phone

(510) 649-1909

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 15, 2024 through Jan 15, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1174004204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 BERKELEY WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041007",
            "telephone_number": "510-649-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 BERKELEY WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041007",
            "telephone_number": "510-649-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "RAIN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikram Suri, MD, PHD
• Uma Suryadevara, MD
• Susan Caliri DDS, Inc.
• Susan Sekler, PH.D., a Psychological Corporation
• Sianne Serena Susbilla
• Sutter Bay Hospitals (Alta Bates Summit Outpatient Pharmacy)
• Sutter Bay Hospitals (Alta Bates Summit Medical Center - Herrick Campus)
• Sutter Bay Hospitals (Alta Bates Summit Medical Center - Alta Bates Campus)
• Sutter Bay Medical Foundation (Sutter Pacific Medical Foundation)
• Sutter Bay Medical Foundation (Sutter East Bay Medical Foundation)

• Clinical Social Worker in Berkeley, CA
• Providers in Berkeley, 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 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.