Active NPI
Susan Kay Zanin, LICENSED PSYCHOLOGIS
- School Social Worker
- Spicer, MN
National Provider Identifier
1689723942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 9602
- Practice address
- 15130 57TH St NE
Spicer, MN 56288 - Phone
- (320) 796-0794
- NPI assigned
- Jan 9, 2007
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP0695 | MN | |
| Clinical Social Worker | 1041C0700X | 9602 | MN | |
| School Social Worker | 1041S0200X | 9602 | MN | Primary |
Addresses
Primary practice location
15130 57TH St NE
Spicer, MN 56288
Mailing address
15130 57TH St NE
Spicer, MN 56288
Phone (320) 796-0794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8L678ZA | Other | MN | BLUE CROSS BLUE SHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP0695 | MN | MD | Psychologist |
| 9602 | MN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1689723942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15130 57TH ST NE",
"city": "SPICER",
"state": "MN",
"postal_code": "56288",
"telephone_number": "320-796-0794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15130 57TH ST NE",
"city": "SPICER",
"state": "MN",
"postal_code": "56288",
"telephone_number": "320-796-0794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANIN",
"first_name": "SUSAN",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "LICENSED PSYCHOLOGIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP0695",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "9602",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MN",
"license": "9602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8L678ZA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spicer, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.