Sujin Jeon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW85560 Issued in CA

Practice address

115 1/2 N Larchmont Blvd
Los Angeles, CA 90004-3896

Phone

(602) 448-0578

NPI assigned

Sep 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Suzie Jeon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kinnection Group Licensed Clinical Social Worker, PC

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1396575288
  NPD Authorized official
• Sujin Jeon Licensed Clinical Social Worker, Inc

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1962232843
  NPD Authorized official

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1265867832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 S PLYMOUTH BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196806",
            "telephone_number": "602-448-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 1/2 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043896",
            "telephone_number": "602-448-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "SUJIN",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW85560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZIE",
            "last_name": "JEON",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lois Jeon
• Minkyo Jeon, LMFT
• Namhoon Jeon, CASE MANAGER
• Roy Jeon
• Seonmi Jeon
• Sunmi Jeon
• Wansoo Jeon
• William Tae Gweon Jeon, ACUPUNCTURIST
• Young Eliora Jeon, M.D.
• Jeong-Ho Roh DDS Inc

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, 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 Mar 26, 2024; 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.