Susanna Alyson Beaudieu, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 16453 Issued in CA

Practice address

3142 Vista Way
Suite 207
Oceanside, CA 92056-3619

Phone

(760) 967-7082

Fax

(760) 967-1465

NPI assigned

Jun 6, 2008

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1184883845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 VISTA WAY",
            "address_2": "SUITE 207",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563619",
            "telephone_number": "760-967-7082",
            "fax_number": "760-967-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 VISTA WAY",
            "address_2": "SUITE 207",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563619",
            "telephone_number": "760-967-7082",
            "fax_number": "760-967-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDIEU",
        "first_name": "SUSANNA",
        "middle_name": "ALYSON",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 16453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ann Beason, OCCUPATIONAL THERAPY
• Lacey J Beaston, FNP
• Dennis Beato
• Ruth Michelle Beaucage-Phillips
• John Beauchamp, LCSW
• Elizabeth Georgina Beazley, M.D.
• Jason Michael Bebo, PA-C
• Mary Briden Becerra, LMFT
• Cyndi Mariel Becerril
• Anna Kaomi Beckenhauer

• Clinical Social Worker in Oceanside, CA
• Providers in Oceanside, 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 Jun 6, 2008; 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.