Susan Jane Reid, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8439 Issued in CA

Practice address

14232 Tuolumne Rd
Sonora, CA 95370-9783

Phone

(209) 559-4120

Fax

(209) 533-2679

NPI assigned

Nov 18, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1558699298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 CIELO VISTA WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705811",
            "telephone_number": "209-533-2679",
            "fax_number": "209-533-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14232 TUOLUMNE RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709783",
            "telephone_number": "209-559-4120",
            "fax_number": "209-533-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "8439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlee Michele Reed, M.D.
• Walter William Reed III, MFT
• James Lynn Reese, MD FACS
• Maureen M Regan, MD
• Nancy Nora Reichle, PHARM D
• Robert I. Reina, M.D.
• James K Reinhardt, CADC-CAS
• Resilience Counseling Center, Inc.
• Resiliency Village
• Ralph Edward Retherford, M.D.

• Clinical Social Worker in Sonora, CA
• Providers in Sonora, 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 Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.