Susan Rafferty Glad, M.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

27179 Issued in CA

Practice address

138 New Mohawk Rd
Suite 200
Nevada City, CA 95959-3244

Phone

(530) 478-0900

Fax

(530) 478-0970

NPI assigned

Mar 28, 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

• Ms. Susie Elizabeth Rafferty-Lace Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1619096104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959590361",
            "telephone_number": "530-478-0900",
            "fax_number": "530-478-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 NEW MOHAWK RD",
            "address_2": "SUITE 200",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593244",
            "telephone_number": "530-478-0900",
            "fax_number": "530-478-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAD",
        "first_name": "SUSAN",
        "middle_name": "RAFFERTY",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "27179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSIE",
            "last_name": "RAFFERTY-LACE",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "M.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory Gilbert, L.AC.
• Loran Gillaspy, RADT I
• Cindy Leigh Gilmore, M.S.
• Brian Ginsberg
• Allison Gjertsen
• Simone Vivian Glueck, LCSW
• Elysse Goerss
• Gold Country Community Services
• Sandra C Goldberg, ND, LAC
• Melanya Emelia Gonshorowski

• Mental Health Counselor in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.