Active NPI
Cynthia Anne Suarez, L.C.S.W.
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1194957852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS25340
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205284 | Other | VA | TRIGON/ANTHEM BLUE CROSS BLUE SHIELD |
| 297645 | Other | VA | MAGELLAN |
| 8927812 | Medicaid | VA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS25340 | CA | MD | Clinical Social Worker |
| 0904002394 | VA | MD | Clinical 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.