Susan Ruth Duckstein

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS12255 Issued in CA

Practice address

10690 San Pablo Ave
El Cerrito, CA 94530-2620

Phone

(510) 528-9590

NPI assigned

Oct 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Ruth Duckstein Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1255666848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10690 SAN PABLO AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302620",
            "telephone_number": "510-528-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10690 SAN PABLO AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302620",
            "telephone_number": "510-528-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKSTEIN",
        "first_name": "SUSAN",
        "middle_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "DUCKSTEIN",
            "middle_name": "RUTH",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeff Ding, D.D.S.
• Khoa Nguyen Dinh, PHARM.D
• Ann M Dixon, OTR/L
• Susan W. Dixon, PH.D.
• Doulas by the Bay LLC
• Dawn M. Dukes, D.D.S.
• Celeste Duncan, MS, OTR/L
• Dva Healthcare Renal Care Inc (El Cerrito Dialysis)
• East Bay Integrative Marriage and Family Therapy Group Inc
• Josephine Anna Eberhardt

• Clinical Social Worker in El Cerrito, CA
• Providers in El Cerrito, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.