Susan Martinez Lee LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUSAN MARTINEZ LEE LCSW LLC

Practice address

790 E Santa Clara St
Ventura, CA 93001-2964

Phone

(805) 701-2048

NPI assigned

Feb 4, 2022

Last updated

Feb 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sadaqah BarrNPI 1083260459

Title

Credentialing

Phone

(609) 338-2244

Specialties & licenses 1

Addresses

Tax ID family

Susan Lee2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Susan Lee

  • Clinical Social Worker
  • Ventura, CA
  • NPI 1053067314
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sadaqah Barr, CEO

  • Health & Wellness Coach
  • Freehold, NJ
  • NPI 1083260459
  Authorized official Same address or phone

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1366196735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 E SANTA CLARA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E SANTA CLARA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012964",
            "telephone_number": "805-701-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MARTINEZ LEE LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "SADAQAH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "609-338-2244"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise Birth Center
• Sunrise Birth Center
• David Surace, DO
• Surfside Nutrition, LLC
• Susan Lee
• Susan Slater MD MPH Inc
• Ilena Trish Sussman, MA, LMFT
• Valerie Sussman, MD
• Angela E. Sutter, D.C.
• Kentaro Pressly Suzuki, M.D.

• Clinical Social Worker in Ventura, CA
• Providers in Ventura, 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 Feb 4, 2022; 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.