Susan Savella Cole, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28305 Issued in CA

Practice address

15633 11TH Street
Victorville, CA 92395-9998

Phone

(760) 881-0564

Fax

(760) 259-2003

NPI assigned

Dec 2, 2013

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 CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Foothill Behavioral Health Consultants Inc

  • Psychiatry Physician
  • Victorville, CA
  • NPI 1265443154
  Medicare reassignment
• Savanna Olsson, Pmhnp: a Professional Nursing Corporation

  • Nursing Care Agency
  • Victorville, CA
  • NPI 1942955935
  NPD (past)

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1457782484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15633 11TH STREET",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923959998",
            "telephone_number": "760-881-0564",
            "fax_number": "760-259-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15633 11TH STREET",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923959998",
            "telephone_number": "760-881-0564",
            "fax_number": "760-259-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "SUSAN",
        "middle_name": "SAVELLA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Suzanne Coaston, FNP
• Sean Cody, MD
• Patrick John Coffey, PA-C
• Les Cohen, D.C.
• Elisa Cole
• Kimorah Coleman
• Malia Coleman
• Savannah Marie Coleman, RADT-I
• Michelle Collier, LPT
• Nicholas Collins

• Clinical Social Worker in Victorville, CA
• Providers in Victorville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.