Active NPI
Susana Lenox, LCSW
- Clinical Social Worker
- Mesa, AZ
National Provider Identifier
1346649779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3552
- Practice address
- 32 S Macdonald
Mesa, AZ 85210-1310 - Phone
- (480) 969-1471
- Fax
- (480) 264-0687
- NPI assigned
- Aug 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 3552 | AZ | Primary |
Addresses
Primary practice location
32 S Macdonald
Mesa, AZ 85210-1310
Mailing address
32 S Macdonald
Suites a & B
Mesa, AZ 85210-1310
Phone (480) 969-1471
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3552 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC/Transitional Living Communities | Past | Accepting new patients | |
| Holistic Medical Group | 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.
-
- Group Psychotherapy Psychologist
- Mesa, AZ
- NPI 1922426956
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1417223017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1346649779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 S MACDONALD",
"address_2": "SUITES A & B",
"city": "MESA",
"state": "AZ",
"postal_code": "852101310",
"telephone_number": "480-969-1471",
"fax_number": "480-264-0687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 S MACDONALD",
"city": "MESA",
"state": "AZ",
"postal_code": "852101310",
"telephone_number": "480-969-1471",
"fax_number": "480-264-0687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENOX",
"first_name": "SUSANA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-21",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "3552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.