Susan Duque Bedrosian, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 17158 Issued in CA

Practice address

32481 Del Zura
San Juan Capistrano, CA 92675-7103

Phone

(949) 310-5253

Fax

(949) 606-0304

NPI assigned

Apr 17, 2015

Last updated

Apr 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

K Allen Family Therapist IncGroup PAC ID 1951529775, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• K Allen Family Therapist Inc

  • Clinical Psychologist
  • Laguna Hills, CA
  • NPI 1720384142
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1407243322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32481 DEL ZURA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926757103",
            "telephone_number": "949-310-5253",
            "fax_number": "949-606-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32481 DEL ZURA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926757103",
            "telephone_number": "949-310-5253",
            "fax_number": "949-606-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDROSIAN",
        "first_name": "SUSAN",
        "middle_name": "DUQUE",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 17158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Elizabeth Baumberger, OTR/L
• Jeremy Bautista
• Maria Theresa Baylon, RPT
• Bridgette Becker, AMFT
• Bishen Singh Bedi, MD
• Behavior Capital (Brightstar of San Juan Capistrano)
• Michelle Renee Belcheff
• Velva Jane Berger, N.P., CNP-PC
• Best Life Family Therapists Inc
• Bethany's Gait Inc.

• Clinical Social Worker in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.

Verify at the official NPI Registry.