Individual provider Active NPI

Susan Marie Vrtis-Younger, LCSW, ACSW, CART

  • Clinical Social Worker
  • Fort Huachuca, AZ
National Provider Identifier
1558468355
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-17844 Issued in AZ
Practice address
Raymond W Bliss Army Health Center
2240 Winrow Avenue
Fort Huachuca, AZ 85613-5080
Phone
(520) 533-5127
NPI assigned
Sep 20, 2006
Last updated
Jul 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 53577 TX
Clinical Social Worker 1041C0700X C005903 NC
Clinical Social Worker 1041C0700X LCSW-17844 AZ Primary
Clinical Social Worker 1041C0700X 34005015A IN
Clinical Social Worker 1041C0700X L13881 OR

Addresses

Primary practice location

Raymond W Bliss Army Health Center
2240 Winrow Avenue
Fort Huachuca, AZ 85613-5080

Mailing address

5010 Santiago CT
Sierra Vista, AZ 85635-5783
Phone (360) 556-8214

Other identifiers 1

IdentifierTypeStateIssuer
100107920MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080725000290 NC Practitioner - Clinical Social Worker 3173696051 Reassigns benefits to 1 organization
I20100802000941 TX Practitioner - Clinical Social Worker 3173696051 Reassigns benefits to 1 organization
I20230120000734 AZ Practitioner - Clinical Social Worker 3173696051 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005903NCMDClinical Social Worker
L13881ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Well America Inc. Past Accepting new patients
Inner-Child Counseling and Associates, LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1558468355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 SANTIAGO CT",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355783",
            "telephone_number": "360-556-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RAYMOND W BLISS ARMY HEALTH CENTER",
            "address_2": "2240 WINROW AVENUE",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856135080",
            "telephone_number": "520-533-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRTIS-YOUNGER",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW,  ACSW, CART",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53577",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005903",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-17844",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005015A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L13881",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107920",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Huachuca, AZ

Sources for this page

Verify at the official NPI Registry.