Susan York Wegener, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW20629 Issued in CA

Practice address

12 Celosia
Rancho Santa Margarita, CA 92688-1018

Phone

(609) 906-2000

Fax

(949) 713-2349

NPI assigned

Jan 17, 2007

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

Other names 1

• Susan York Travis Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Balance Rehabilitation, Inc.

  • Orthopedic Physical Therapist
  • Lake Forest, CA
  • NPI 1184734931
  NPD (past)
• Dr. David R. Levin

  • Foot Surgery Podiatrist
  • Laguna Niguel, CA
  • NPI 1396936381
  NPD (past)
• Orange County Health & Psychology Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Irvine, CA
  • NPI 1659500569

  Clinical

  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1568514875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CELOSIA",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926881018",
            "telephone_number": "609-906-2000",
            "fax_number": "949-713-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CELOSIA",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926881018",
            "telephone_number": "609-906-2000",
            "fax_number": "949-713-2349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30011 Ivy Glenn Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926775015",
            "country_code": "US",
            "telephone_number": "609-906-2000",
            "fax_number": "949-713-2349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEGENER",
        "first_name": "SUSAN",
        "middle_name": "YORK",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "SW20629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "TRAVIS",
            "middle_name": "YORK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Walls, DPT
• Walmart Inc. (WalMart Pharmacy 10-5600)
• Crystal Walsh, LCSW
• Alexa Walthall, PHD
• James T Wang, M.D.
• Michael Weiss, D.O.
• Danielle White, PPS
• Ashlyn Williams
• Gary Lee Williams
• Juliet Williams, CRNA

• Clinical Social Worker in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, 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 Jan 17, 2020; 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.

Verify at the official NPI Registry.