Individual provider Active NPI

Susan D Laureano, DSW

  • Clinical Social Worker
  • San Juan, PR
National Provider Identifier
1255345989
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8748 Issued in PR
Practice address
200 Calle Cupey GDNS Ste 11W
San Juan, PR 00926-7366
Phone
(787) 528-5363
NPI assigned
Jul 28, 2006
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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 8748 PR Primary

Addresses

Primary practice location

200 Calle Cupey GDNS Ste 11W
San Juan, PR 00926-7366

Mailing address

2052 Ganivet
Urb El Senorial
San Juan, PR 00926-6736
Phone (787) 528-5363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260624000175 PR Practitioner - Clinical Social Worker 4587137419 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1050 Ave Las Palmas
San Juan, PR 00907

200
San Juan, PR 00926
Phone (787) 528-5363

2052 Calle Ganivet
Urb El Senorial
San Juan, PR 00926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8748PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1255345989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 GANIVET",
            "address_2": "URB EL SENORIAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266736",
            "telephone_number": "787-528-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CALLE CUPEY GDNS STE 11W",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267366",
            "telephone_number": "787-528-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUREANO",
        "first_name": "SUSAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "8748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.