Individual provider Active NPI

Suzanne C. Vetere, MSW, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1376763375
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-11614 Issued in AZ
Practice address
7632 N la Cholla Blvd
Tucson, AZ 85741-4201
Phone
(520) 360-4064
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 16155 AZ
Mental Health Counselor 101YM0800X LISAC-10313 AZ
Clinical Social Worker 1041C0700X LCSW-11614 AZ Primary

Addresses

Primary practice location

7632 N la Cholla Blvd
Tucson, AZ 85741-4201

Mailing address

8451 N Spring Creek Dr
Tucson, AZ 85742-4842
Phone (520) 360-4064

Other names 1

  • Sue C Pirc Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20251031003132 AZ Practitioner - Clinical Social Worker 5991235467 Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7632 N la Cholla Blvd
Tucson, AZ 85741-4201
Phone (520) 360-4064

8451 N Spring Creek Dr
Tucson, AZ 85742-4842
Phone (520) 360-4064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LISAC-10313AZMDMental Health Counselor
LCSW-11614AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1376763375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 N SPRING CREEK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424842",
            "telephone_number": "520-360-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7632 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857414201",
            "telephone_number": "520-360-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETERE",
        "first_name": "SUZANNE",
        "middle_name": "C.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "16155",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LISAC-10313",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-11614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "PIRC",
            "middle_name": "C",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.