Suzanne O Koebler, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW91728 Issued in CA

Practice address

530 Soquel Ave
Santa Cruz, CA 95062-2301

Phone

(831) 426-7322

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of Santa CruzGroup PAC ID 7618872912, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• County of Santa Cruz

  • Clinic/Center
  • Santa Cruz, CA
  • NPI 1659315430
  Medicare reassignment Care Compare group NPD
• County of Santa Cruz

  • Federally Qualified Health Center (FQHC)
  • Watsonville, CA
  • NPI 1770709149
  NPD
• Parents Center, Inc.

  • Community/Behavioral Health Agency
  • Freedom, CA
  • NPI 1881717981
  NPD
• County of Santa Cruz

  • Adult Mental Health Clinic/Center
  • Santa Cruz, CA
  • NPI 1548304660
  NPD (past)
• Parents Center

  • Community/Behavioral Health Agency
  • Santa Cruz, CA
  • NPI 1083737167
  NPD (past)

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1356824619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 MIRAMAR DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603341",
            "telephone_number": "831-689-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SOQUEL AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622301",
            "telephone_number": "831-426-7322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Emeline Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950601976",
            "country_code": "US",
            "telephone_number": "831-454-4170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEBLER",
        "first_name": "SUZANNE",
        "middle_name": "O",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW91728",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YM0800X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayme Knollhoff
• Kerry Jane Knott, M.S., CCC-SLP
• Jenny Knowles, OTR/L
• Victoria Eileen Knowles, AOD
• Mary Dupasquier Knudtson, NP
• Kenneth Lowell Koenig, M.D.
• Leah K Koenig, NP
• Beverly Ann Koerner, LCS
• Russell Koester, L.AC., DIPL. O.M.
• Keren-Happuch Elizabeth Kohath, DO

• Clinical Social Worker in Santa Cruz, CA
• Providers in Santa Cruz, 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 Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.