Individual provider Active NPI

Susan Mary Warren Warshow, LCSW

  • Clinical Social Worker
  • Westlake Village, CA
National Provider Identifier
1407974454
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS6291 Issued in CA
Practice address
5583 Spring Hill CT
Westlake Village, CA 91362-5429
Phone
(818) 378-1418
Fax
(818) 597-1191
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 LCS6291 CA Primary

Addresses

Primary practice location

5583 Spring Hill CT
Westlake Village, CA 91362-5429

Mailing address

5583 Spring Hill CT
Westlake Village, CA 91362-5429
Phone (818) 378-1418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 24, 2024 through Jan 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6291CAMDProfessional Counselor
LCS6291CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1407974454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5583 SPRING HILL CT",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913625429",
            "telephone_number": "818-378-1418",
            "fax_number": "818-597-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5583 SPRING HILL CT",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913625429",
            "telephone_number": "818-378-1418",
            "fax_number": "818-597-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN WARSHOW",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS6291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.