Susan Jill Woolf

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

IC-1487 Issued in NV

Practice address

601 S Rancho Dr Ste A10
Las Vegas, NV 89106-4898

Phone

(702) 437-4673

NPI assigned

Nov 21, 2019

Last updated

Dec 28, 2020By 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 NV

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jennifer C Moore MSW LCSW IncGroup PAC ID 8628137304, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: foundationscounseling.susanwoolf@153695.advancedmd-direct.com

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.

• Jennifer C Moore MSW LCSW Inc

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1225280969
  Medicare reassignment Care Compare group NPD
• Jennifer C Moore MSW LCSW Inc

  dba Foundations Counseling Center

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1013615079
  NPD (past)

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1427694785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 CASCADE VALLEY CT STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S RANCHO DR STE A10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064898",
            "telephone_number": "702-437-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7180 Cascade Valley Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280481",
            "country_code": "US",
            "telephone_number": "702-888-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOLF",
        "first_name": "SUSAN",
        "middle_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-1487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Woolbright, CRNA
• Joshua D Wooldridge, LAT, ATC, CSCS
• Kaydian Tashina Woolery, MHC
• Terry James Woolery, PT
• Elkeshja Monaye Nicole Wooley
• Tamara Woolfolk
• Elda Woolford, NURSE ASSISTANT
• Lisa Woolley, CST
• Jami Myong Woolnough, MD
• Angel Woolsey

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.