Active NPI
Suzanne R. Lippuner, LCSW
- Clinical Social Worker
- Truckee, CA
National Provider Identifier
1528618485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12733
- Practice address
- 10100 Pioneer TRL Unit 53
Truckee, CA 96161-2953 - Phone
- (530) 579-9070
- NPI assigned
- Sep 12, 2019
- 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 | 12733 | CA | Primary |
Addresses
Primary practice location
10100 Pioneer TRL Unit 53
Truckee, CA 96161-2953
Mailing address
12242 Business Park Dr Ste 19
Truckee, CA 96161-3327
Phone (530) 579-9070
Other practice location 1
12242 Business Park Dr Ste 19
Truckee, CA 96161-3327
Phone (530) 579-9070
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210216000757 | CA | Practitioner - Clinical Social Worker | 4789099292 | Practice locations: Truckee, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10100 Pioneer TRL
Unit 53
Truckee, CA 96161-2953
Phone (530) 579-9070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12733 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- suzannelippuner@tdh.allscriptsdirect.net
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": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1528618485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12242 BUSINESS PARK DR STE 19",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961613327",
"telephone_number": "530-579-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10100 PIONEER TRL UNIT 53",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961612953",
"telephone_number": "530-579-9070"
}
],
"practiceLocations": [
{
"address_1": "12242 Business Park Dr Ste 19",
"address_purpose": "LOCATION",
"city": "Truckee",
"state": "CA",
"postal_code": "961613327",
"country_code": "US",
"telephone_number": "530-579-9070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIPPUNER",
"first_name": "SUZANNE",
"middle_name": "R.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "12733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.