Active NPI
Suzanne Rachel Iverson
- Clinical Social Worker
- Victorville, CA
National Provider Identifier
1265147441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 142082
- Practice address
- 15002 Amargosa Rd
Victorville, CA 92394-1868 - Phone
- (442) 255-4023
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 142082 | CA | Primary |
Addresses
Primary practice location
15002 Amargosa Rd
Victorville, CA 92394-1868
Mailing address
16552 Sunhill Dr
Victorville, CA 92395-4518
Phone (760) 780-4400
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Star Behavioral Health, Inc. | Past | Accepting new patients | |
| Valley Star Behavioral Health, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Downey, CA
- NPI 1396491973
-
- Mental Illness Community Based Residential Treatment Facility
- Victorville, CA
- NPI 1902393317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1265147441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16552 SUNHILL DR",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923954518",
"telephone_number": "760-780-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15002 AMARGOSA RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923941868",
"telephone_number": "442-255-4023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVERSON",
"first_name": "SUZANNE",
"middle_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "142082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.