Individual provider Active NPI

Susan J Buniva, MSW, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1275727273
Registry record updated Sep 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000874 Issued in VA
Practice address
3212 Skipwith Rd Ste 104
Richmond, VA 23294-4413
Phone
(804) 270-4111
NPI assigned
Sep 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2007

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 0904000874 VA Primary

Addresses

Primary practice location

3212 Skipwith Rd Ste 104
Richmond, VA 23294-4413

Mailing address

3212 Skipwith Rd Ste 104
Richmond, VA 23294-4413
Phone (804) 270-4111

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

State licenses

LicenseStateTypeSpecialty
0904000874VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1188691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188691200000",
    "number": "1275727273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 SKIPWITH RD STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944413",
            "telephone_number": "804-270-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 SKIPWITH RD STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944413",
            "telephone_number": "804-270-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNIVA",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-02",
        "last_updated": "2007-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2007; 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.