Individual provider Active NPI

Susan Irene Moreland, LICSW

  • Clinical Social Worker
  • Brier, WA
National Provider Identifier
1215067418
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00005341 Issued in WA
Practice address
2317 231St PL SW
Brier, WA 98036-8385
Phone
(425) 268-0410
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00005341 WA Primary

Addresses

Primary practice location

2317 231St PL SW
Brier, WA 98036-8385

Mailing address

2317 231St PL SW
Brier, WA 98036-8385
Phone (425) 268-0410

Other practice location 1

7614 195th St SW Ste 101
Edmonds, WA 98026-6260
Phone (425) 775-4059

Other names 1

  • Ms. Sue Moreland Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sue.psych@outlook.com Direct

Medicare participation

Medicare enrollment files
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 May 25, 2019 through May 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW00005341WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Psychological Services, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1215067418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 231ST PL SW",
            "city": "BRIER",
            "state": "WA",
            "postal_code": "980368385",
            "telephone_number": "425-268-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 231ST PL SW",
            "city": "BRIER",
            "state": "WA",
            "postal_code": "980368385",
            "telephone_number": "425-268-0410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7614 195th St SW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980266260",
            "country_code": "US",
            "telephone_number": "425-775-4059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "SUSAN",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sue.psych@outlook.com",
            "affiliation": "N",
            "endpointDescription": "non-encrypted email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2317 231st Pl SW",
            "city": "Brier",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980368385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "MORELAND",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brier, WA

Sources for this page

Verify at the official NPI Registry.