Susan Connor, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C002371 Issued in NC

Practice address

1703 Country Club Road
Suite 204
Jacksonville, NC 28546

Phone

(910) 347-3010

Fax

(910) 347-3201

NPI assigned

Dec 16, 2005

Last updated

May 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Resolutions Counseling and Mediation Services, PLLC

  • Clinical Social Worker
  • Jacksonville, NC
  • NPI 1982868501
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1255317731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB ROAD",
            "address_2": "SUITE 204",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-347-3010",
            "fax_number": "910-347-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB ROAD",
            "address_2": "SUITE 204",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-347-3010",
            "fax_number": "910-347-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C002371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003139",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "131C6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comprehensive and Cosmetic Dentistry
• Comprehensive Wellness Center of North Carolina, PLLC
• Kelly Hill Comstock, LCSW-A
• Leigh Conant, MS, LMFT, SEP
• George M. Conekin III, O.D.
• Ciarra K Constant
• Consuetude
• Continuum II Home Care & Hospice, Inc. (Cardinal Hospice)
• Continuum II Home Care & Hospice, Inc.
• Continuum II Home Care & Hospice, Inc.

• Social Worker in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.