Active NPI
Susan L Brisby, LCSW
- Clinical Social Worker
- Seattle, WA
National Provider Identifier
1376774109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L5380
- Practice address
- Puget Sound Veterans Hospital
1660 S. Columbian Way
Seattle, WA 98108 - Phone
- (206) 518-1593
- Fax
- (360) 395-2939
- NPI assigned
- Jul 28, 2009
- Sex
- Female
- Sole proprietor
- No
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 | L5380 | OR | Primary |
Addresses
Primary practice location
Puget Sound Veterans Hospital
1660 S. Columbian Way
Seattle, WA 98108
Mailing address
23522 Jordan Rd
Arlington, WA 98223-9579
Phone (931) 220-2499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L5380 | Other | OR | SW CLINICAL LICENSURE |
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 |
|---|---|---|---|
| L5380 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1376774109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23522 JORDAN RD",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982239579",
"telephone_number": "931-220-2499",
"fax_number": "931-220-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PUGET SOUND VETERANS HOSPITAL",
"address_2": "1660 S. COLUMBIAN WAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98108",
"telephone_number": "206-518-1593",
"fax_number": "360-395-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISBY",
"first_name": "SUSAN",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-28",
"last_updated": "2022-04-28",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L5380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SW CLINICAL LICENSURE",
"identifier": "L5380",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.