Individual provider Active NPI

Susan Gittleman-Davies, MSW, LCSW

  • Clinical Social Worker
  • Torrance, CA
National Provider Identifier
1437267697
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9757 Issued in CA
Practice address
24050 Madison St
100-N
Torrance, CA 90505-6015
Phone
(310) 803-5441
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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 9757 CA Primary

Addresses

Primary practice location

24050 Madison St
100-N
Torrance, CA 90505-6015

Mailing address

24050 Madison St
100-N
Torrance, CA 90505-6015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20120530000064 CA Practitioner - Clinical Social Worker 6305009788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of California, San Diego School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24050 Madison St
Suite 100N
Torrance, CA 90505-6080
Phone (310) 803-5441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Davies, License Clinical Social Worker, Inc. Clinical CurrentSince Mar 14, 2012 Accepting new patients

Locations

24050 Madison St
Ste 100N
Torrance, CA 90505
Phone (310) 803-5441

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1437267697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST",
            "address_2": "100-N",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST",
            "address_2": "100-N",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056015",
            "telephone_number": "310-803-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTLEMAN-DAVIES",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "9757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.