Individual provider Active NPI

Cynthia Anne Suarez, L.C.S.W.

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1194957852
Registry record updated Nov 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS25340 Issued in CA
Practice address
2585 E Perrin Ave
Ste. 107
Fresno, CA 93720-5205
Phone
(559) 285-6077
Fax
(559) 645-8802
NPI assigned
Aug 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS25340 CA Primary
Clinical Social Worker 1041C0700X 0904002394 VA

Addresses

Primary practice location

2585 E Perrin Ave
Ste. 107
Fresno, CA 93720-5205

Mailing address

2094 E Royal Dornoch Ave
Fresno, CA 93730-5142
Phone (559) 285-6077

Other identifiers 3

IdentifierTypeStateIssuer
205284OtherVATRIGON/ANTHEM BLUE CROSS BLUE SHIELD
297645OtherVAMAGELLAN
8927812MedicaidVA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS25340CAMDClinical Social Worker
0904002394VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257033600000",
    "number": "1194957852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 E ROYAL DORNOCH AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937305142",
            "telephone_number": "559-285-6077",
            "fax_number": "559-645-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 E PERRIN AVE",
            "address_2": "STE. 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205205",
            "telephone_number": "559-285-6077",
            "fax_number": "559-645-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "CYNTHIA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS25340",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON/ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "205284",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "297645",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8927812",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2009; 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.