Suzy Kim-Tran, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS21452 Issued in CA

Practice address

1134 Ballena Blvd
Ste 16
Alameda, CA 94501-3693

Phone

(510) 766-0050

NPI assigned

Sep 24, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Suzy Kim Tran Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1528254539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 BALLENA BLVD",
            "address_2": "STE 16",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013693",
            "telephone_number": "510-766-0050",
            "fax_number": "510-336-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 BALLENA BLVD",
            "address_2": "STE 16",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013693",
            "telephone_number": "510-766-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM-TRAN",
        "first_name": "SUZY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS21452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "01CR",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZY",
            "last_name": "KIM TRAN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alia Khan
• Bilaal Akram Khan
• Zahra Khan
• Sneha Vijay Kherde
• Sokley Khoi, PH.D.
• Andrea Kim, DMD
• Dong Hyun Kim, DDS
• Eileen Hee-Un Kim, O.D.
• Hernan Kim, PT, DPT
• Joshua Kim, D.O.

• Clinical Social Worker in Alameda, CA
• Providers in Alameda, 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 Oct 24, 2019; 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.