Individual provider Active NPI

Susan L. Such, ASW

  • Clinical Social Worker
  • Oroville, CA
National Provider Identifier
1639505316
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW 36981 Issued in CA
Practice address
2145 5TH Ave
Oroville, CA 95965-5870
Phone
(530) 532-6811
Fax
(530) 533-5219
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW 36981 CA Primary

Addresses

Primary practice location

2145 5TH Ave
Oroville, CA 95965-5870

Mailing address

2998 Sandi Ave.
Chico, CA 95973-0443
Phone (530) 899-9895

Other identifiers 1

IdentifierTypeStateIssuer
ASW 36981OtherCAASW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW 36981CAMDClinical Social Worker
80504CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1639505316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2998 SANDI AVE.",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730443",
            "telephone_number": "530-899-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 5TH AVE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959655870",
            "telephone_number": "530-532-6811",
            "fax_number": "530-533-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCH",
        "first_name": "SUSAN",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 36981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASW",
            "identifier": "ASW 36981",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.