Active NPI
Suckia Forsythe, LCSWA
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1497120968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P009840
- Practice address
- 2543 Ravenhill Dr
B
Fayetteville, NC 28303-9618 - Phone
- (910) 339-1928
- NPI assigned
- Dec 9, 2015
- 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 | P009840 | NC | Primary |
Addresses
Primary practice location
2543 Ravenhill Dr
B
Fayetteville, NC 28303-9618
Mailing address
318 Heathrow Dr.
Spring Lake, NC 28390
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 |
|---|---|---|---|
| P009840 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1497120968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 HEATHROW DR.",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "28390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2543 RAVENHILL DR",
"address_2": "B",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283039618",
"telephone_number": "910-339-1928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSYTHE",
"first_name": "SUCKIA",
"name_prefix": "Miss",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P009840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
- Forever Young Group Care, LLC
- Mary Rebecca Forgach, PA-C
- Forged by Fire Counseling Services, LLC (Mary Lynn Campbell)
- Shalita Shanta Forrest, RN
- Angela Ruff Forsyth, D.D.S.
- Fort Liberty Elite Xpress N.E.M.T. LLC
- Marcia E Fort, AU.D., CCC-A
- Brianna Brynithia Forte
- Oliver Fortea, PT
- Chad M Fortin, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.