Susan Davies, License Clinical Social Worker, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9757 Issued in CA

Legal business name

SUSAN DAVIES, LICENSE CLINICAL SOCIAL WORKER, INC.

Practice address

24050 Madison St
100-N
Torrance, CA 90505-6015

Phone

(310) 803-5441

Fax

(310) 373-9272

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Susan Davies

Title

License Clinical Social Worker

Phone

(310) 803-5441

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Gittleman-Davies, MSW, LCSW

  • Clinical Social Worker
  • Torrance, CA
  • NPI 1437267697
  Medicare reassignment NPD

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1174882708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST",
            "address_2": "100-N",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST",
            "address_2": "100-N",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056015",
            "telephone_number": "310-803-5441",
            "fax_number": "310-373-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN DAVIES, LICENSE CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "LICENSE CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "310-803-5441"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "9757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Torrance, CA
• Providers in Torrance, 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 May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.