Active NPI
Susan Raunegger, LCSW 81670
- Clinical Social Worker
- Saint Helena, CA
National Provider Identifier
1417403064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW60335
- Practice address
- 1360 Grove CT
Saint Helena, CA 94574-1146 - Phone
- (707) 292-3126
- NPI assigned
- Sep 1, 2016
- 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 | ASW60335 | CA | Primary |
Addresses
Primary practice location
1360 Grove CT
Saint Helena, CA 94574-1146
Mailing address
2025 Redwood Road Suite 8
St. Helena, CA 94574
Phone (707) 292-3126
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 |
|---|---|---|---|
| ASW60335 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1417403064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 REDWOOD ROAD SUITE 8",
"city": "ST. HELENA",
"state": "CA",
"postal_code": "94574",
"telephone_number": "707-292-3126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 GROVE CT",
"city": "SAINT HELENA",
"state": "CA",
"postal_code": "945741146",
"telephone_number": "707-292-3126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUNEGGER",
"first_name": "SUSAN",
"credential": "LCSW 81670",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW60335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Helena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.