Individual provider Active NPI

Susann Hoppmann Navarra, MSW, LCSW

  • Clinical Social Worker
  • Garner, NC
National Provider Identifier
1336218932
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005062 Issued in NC
Practice address
136 US Hwy 70 East
Garner, NC 27529
Phone
(919) 791-5611
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 C005062 NC Primary

Addresses

Primary practice location

136 US Hwy 70 East
Garner, NC 27529

Mailing address

136 US Hwy 70 East
Garner, NC 27529
Phone (919) 791-5611

Other identifiers 1

IdentifierTypeStateIssuer
142P7OtherNCBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070927000281 NC Practitioner - Clinical Social Worker 4385739978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind and Body Therapeutic Connections, PLLCGroup PAC ID 4880010867, 6 clinicians

Practice addresses (Care Compare)

136 US 70 Hwy E
Garner, NC 27529-3982
Phone (919) 791-5611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005062NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Body Therapeutic Connections, PLLC Clinical CurrentSince Aug 1, 2020 Accepting new patients
Mindpath Care Centers, North Carolina, PLLC Clinical PastSince Aug 15, 2004 Accepting new patients

Locations

136 US 70 Hwy E
Garner, NC 27529
Phone (919) 614-4527

136 US 70 Hwy E
Ste 201
Garner, NC 27529
Phone (919) 791-5611

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1336218932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 US HWY 70 EAST",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "27529",
            "telephone_number": "919-791-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 US HWY 70 EAST",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "27529",
            "telephone_number": "919-791-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRA",
        "first_name": "SUSANN",
        "middle_name": "HOPPMANN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-01-05",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "142P7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.