Active NPI
Susan Joyner, LCSW-C, LCSW
- Clinical Social Worker
- San Mateo, CA
National Provider Identifier
1376165035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111259
- Practice address
- 138 S B St Apt 2
San Mateo, CA 94401-3936 - Phone
- (650) 539-8507
- NPI assigned
- May 15, 2020
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21993 | MD | |
| Clinical Social Worker | 1041C0700X | 111259 | CA | Primary |
Addresses
Primary practice location
138 S B St Apt 2
San Mateo, CA 94401-3936
Mailing address
138 S B St Apt 2
San Mateo, CA 94401-3936
Phone (864) 561-7039
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21993 | MD | MD | Clinical Social Worker |
| 111259 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan Joyner | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Mateo, CA
- NPI 1174341499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1376165035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 S B ST APT 2",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013936",
"telephone_number": "864-561-7039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 S B ST APT 2",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013936",
"telephone_number": "650-539-8507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOYNER",
"first_name": "SUSAN",
"credential": "LCSW-C, LCSW",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2020-05-15",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "21993",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "111259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.