Active NPI
Susan Lynn Farris, LCSW
- Clinical Social Worker
- Bastrop, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 33956
- 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
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 | 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 72945 | CA | MD | Pharmacist |
| 33956 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriveworks Clinical - California PC | Multi-Specialty | Current | Accepting new patients |
| Thrive Counseling LLC | Multi-Specialty | Current | 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.
-
- Mental Health Counselor
- Thousand Oaks, CA
- NPI 1801481395
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.