Individual provider Active NPI

Susan Lynn Rippke, LCSW

  • Clinical Social Worker
  • Palm Desert, CA
National Provider Identifier
1386860963
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24468 Issued in CA
Practice address
42335 Washington St
Suite F #352
Palm Desert, CA 92211-8031
Phone
(760) 567-9539
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24468 CA Primary

Addresses

Primary practice location

42335 Washington St
Suite F #352
Palm Desert, CA 92211-8031

Mailing address

42335 Washington St
Suite F #354
Palm Desert, CA 92211-8031
Phone (760) 567-9539

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

LicenseStateTypeSpecialty
828NEMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1386860963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42335 WASHINGTON ST",
            "address_2": "SUITE F #354",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922118031",
            "telephone_number": "760-567-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42335 WASHINGTON ST",
            "address_2": "SUITE F #352",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922118031",
            "telephone_number": "760-567-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPKE",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.