Suzanne Bober, LSW
Individual provider Active NPI Clinical Social Worker · Basalt, CO
NPI 1245028315 · NPPES record last updated Apr 29, 2025
Key facts
- NPI
- 1245028315
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LSW.0009925786 (CO)
- Practice address
- PO Box 1115
Basalt, CO 81621-1115 - Phone
- (970) 924-0703
- NPI assigned
- Apr 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009925786 | CO | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW.0009925786 | CO | Yes |
Addresses
Primary practice location
PO Box 1115
Basalt, CO 81621-1115
Mailing address
PO Box 1115
Basalt, CO 81621-1115
Phone (970) 924-0703
Other providers in Basalt, CO
- Basalt Orthopedic Surgery Center, LLC
- Timothy J Bauer
- Terry J. Began
- Erica Belfiore
- Marcus Blue
- Willa Bonzi
- David J Borchers
- Bruce K Bowen
- Chelsie R Brehm
- Bryn Lou Brendamour
All providers in Basalt, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.