Individual provider Active NPI

Susan Lynn Farris, LCSW

  • Clinical Social Worker
  • Bastrop, TX
National Provider Identifier
1386806586
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33956 Issued in TX
Practice address
1106 College St Ste E3&E5
Bastrop, TX 78602-3951
Phone
(512) 521-3243
NPI assigned
Jun 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 72945 CA
Clinical Social Worker 1041C0700X 33956 TX Primary

Addresses

Primary practice location

1106 College St Ste E3&E5
Bastrop, TX 78602-3951

Mailing address

PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 254-7483

Other practice location 1

2525 Camino Del Rio S Ste 301
San Diego, CA 92108-3784
Phone (209) 689-2669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170119002028 TX Practitioner - Clinical Social Worker 4587946983 Reassigns benefits to 1 organization
I20250829003670 CA Practitioner - Clinical Social Worker 4587946983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians
Thriveworks Clinical - California PCGroup PAC ID 1759785645, 55 clinicians

Practice addresses (Care Compare)

1106 College St
Suite E3
Bastrop, TX 78602-4021
Phone (855) 284-7483

2525 Camino del Rio S
Suite 301
San Diego, CA 92108-3784
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72945CAMDPharmacist
33956TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - California PC Multi-Specialty CurrentSince Jul 14, 2025 Accepting new patients
Thrive Counseling LLC Multi-Specialty CurrentSince Aug 1, 2021 Accepting new patients

Locations

171 Saxony Rd
Ste 106
Encinitas, CA 92024
Phone (760) 640-0270

116 S Catalina Ave
Ste 109
Redondo Beach, CA 90277
Phone (617) 454-4916

2525 Camino del Rio S
Ste 301
San Diego, CA 92108
Phone (209) 689-2669

1106 College St
Ste E3
Bastrop, TX 78602
Phone (512) 521-3243

1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050

4903 82nd St
Ste 60
Lubbock, TX 79424
Phone (806) 507-6934

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1386806586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-254-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 COLLEGE ST STE E3&E5",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023951",
            "telephone_number": "512-521-3243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Camino Del Rio S Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083784",
            "country_code": "US",
            "telephone_number": "209-689-2669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-28",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "72945",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "33956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.