Active NPI
James Suthann, RCSW-I
- Clinical Social Worker
- Satellite Beach, FL
National Provider Identifier
1518265271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW-5871
- Practice address
- 622 N Hedgecock SQ
Satellite Beach, FL 32937-3925 - Phone
- (321) 432-3098
- NPI assigned
- Mar 4, 2011
- Sex
- Male
- Sole proprietor
- No
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 | ISW-5871 | FL | Primary |
Addresses
Primary practice location
622 N Hedgecock SQ
Satellite Beach, FL 32937-3925
Mailing address
622 N Hedgecock SQ
Satellite Beach, FL 32937-3925
Phone (321) 432-3098
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 |
|---|---|---|---|
| ISW-5871 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1518265271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 N HEDGECOCK SQ",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329373925",
"telephone_number": "321-432-3098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 N HEDGECOCK SQ",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329373925",
"telephone_number": "321-432-3098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTHANN",
"first_name": "JAMES",
"name_prefix": "Mr.",
"credential": "RCSW-I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-04",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW-5871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Satellite Beach, FL
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- Alexis Chan Thorpe, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.