Active NPI
Carlyn Suriano, MSW
- Clinical Social Worker
- Burbank, CA
National Provider Identifier
1417224122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24073
- Practice address
- 4405 W Riverside Dr
Suite 208
Burbank, CA 91505-4072 - Phone
- (213) 215-6374
- NPI assigned
- Nov 23, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 24073 | CA | Primary |
Addresses
Primary practice location
4405 W Riverside Dr
Suite 208
Burbank, CA 91505-4072
Mailing address
4405 W Riverside Dr
Suite 208
Burbank, CA 91505-4072
Phone (213) 215-6374
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24073 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1417224122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 W RIVERSIDE DR",
"address_2": "SUITE 208",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054072",
"telephone_number": "213-215-6374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 W RIVERSIDE DR",
"address_2": "SUITE 208",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054072",
"telephone_number": "213-215-6374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURIANO",
"first_name": "CARLYN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-23",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "24073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.