Individual provider Active NPI

Susan Foutz-Lowe, LICSW, LMSW

  • Clinical Social Worker
  • Livermore, CA
National Provider Identifier
1225340581
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00008137 Issued in WA
Practice address
4951 Arroyo Rd
Livermore, CA 94550-9650
Phone
(925) 373-4700
NPI assigned
Jul 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MS5399 MS
Clinical Social Worker 1041C0700X LW00008137 WA Primary

Addresses

Primary practice location

4951 Arroyo Rd
Livermore, CA 94550-9650

Mailing address

5855 Silver Creek Valley Rd
San Jose, CA 95138-1059
Phone (650) 281-5600

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
MS5399MSMDSocial Worker
LW00008137WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1225340581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 SILVER CREEK VALLEY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381059",
            "telephone_number": "650-281-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 ARROYO RD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945509650",
            "telephone_number": "925-373-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUTZ-LOWE",
        "first_name": "SUSAN",
        "credential": "LICSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "MS5399",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.