Individual provider Active NPI

Susan E. Neander, LCSW

  • Clinical Social Worker
  • Arcata, CA
National Provider Identifier
1295860880
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS19870 Issued in CA
Practice address
801 Crescent Way
Suite 3
Arcata, CA 95521-6780
Phone
(707) 822-3998
Fax
(707) 822-3998
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 LCS19870 CA Primary

Addresses

Primary practice location

801 Crescent Way
Suite 3
Arcata, CA 95521-6780

Mailing address

1335 Virginia Way
Arcata, CA 95521-6853
Phone (707) 822-3998

Other identifiers 4

IdentifierTypeStateIssuer
LCS198700OtherCABLUE CROSS
243296OtherCAMANAGED HEALTH NETWORK
CSW198700MedicaidCA
10964739OtherCACAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050630001151 CA Practitioner - Clinical Social Worker 1355387101 Practice locations: Arcata, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 Crescent Way
Suite 3
Arcata, CA 95521-6781
Phone (707) 822-3998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS19870CAMDClinical Social Worker
19870CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295860880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 VIRGINIA WAY",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216853",
            "telephone_number": "707-822-3998",
            "fax_number": "707-822-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CRESCENT WAY",
            "address_2": "SUITE 3",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216780",
            "telephone_number": "707-822-3998",
            "fax_number": "707-822-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEANDER",
        "first_name": "SUSAN",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "LCS198700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "243296",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CSW198700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10964739",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.