Active NPI
Susanna Marie Lozano, LISW-S
- Clinical Social Worker
- Hamilton, OH
National Provider Identifier
1386695922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I. 0010203 - S
- Practice address
- 1910 Fairgrove Ave Ste E
Hamilton, OH 45011-1930 - Phone
- (513) 795-7557
- NPI assigned
- May 15, 2006
- 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 | I. 0010203 - S | OH | Primary |
Addresses
Primary practice location
1910 Fairgrove Ave Ste E
Hamilton, OH 45011-1930
Mailing address
820 S Martin Luther King Jr Blvd
Hamilton, OH 45011-3216
Phone (513) 887-8500
Other practice location 1
820 S Martin Luther King Jr Blvd
Hamilton, OH 45011-3216
Phone (513) 887-8500
Other names 1
- Susanna Marie Lozano
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I. 0010203 - S | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Psychiatry & Wellness, LLC | Current | Accepting new patients | |
| Community Behavioral Health Inc. | Past | Accepting new patients |
Locations
1910 Fairgrove Ave
Ste E
Hamilton, OH 45011
Phone (513) 299-4025
Interoperability endpoints
- https://api.platform.athenahealth.com/5507/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Hamilton, OH
- NPI 1699251553
-
- Adult Mental Health Clinic/Center
- Hamilton, OH
- NPI 1225260888
-
- Mental Health Counselor
- Fort Thomas, KY
- NPI 1710691795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1386695922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 S MARTIN LUTHER KING JR BLVD",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450113216",
"telephone_number": "513-887-8500",
"fax_number": "513-737-8197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 FAIRGROVE AVE STE E",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450111930",
"telephone_number": "513-795-7557"
}
],
"practiceLocations": [
{
"address_1": "820 S Martin Luther King Jr Blvd",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "OH",
"postal_code": "450113216",
"country_code": "US",
"telephone_number": "513-887-8500",
"fax_number": "513-737-8197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOZANO",
"first_name": "SUSANNA",
"middle_name": "MARIE",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I. 0010203 - S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSANNA",
"last_name": "LOZANO",
"middle_name": "MARIE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.