Susan Pease Banitt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L2929 Issued in OR

Practice address

530 NW 23Rd Ave
Suite 109
Portland, OR 97210-3275

Phone

(971) 207-2766

Fax

(503) 241-4250

NPI assigned

Mar 10, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1407272875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NW 23RD AVE",
            "address_2": "SUITE 109",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103275",
            "telephone_number": "971-207-2766",
            "fax_number": "503-241-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NW 23RD AVE",
            "address_2": "SUITE 109",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103275",
            "telephone_number": "971-207-2766",
            "fax_number": "503-241-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASE BANITT",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoebe Pearson, PT, DPT
• Shelby Elise Pearson
• Sonja Pearson, LMT
• Theodore Lee Pearson III, CADC I
• Tuesday Elizabeth Pearson, D.O.
• Letha Pease, LMT
• David Blanchard Peaslee, M.D.
• Amanda Leigh Peats, PMHNP
• Deziare Pebenito, LMT
• Sean Paul Pebler, CADC

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.