Individual provider Active NPI

Susana Valencia, LCSW

  • Clinical Social Worker
  • Delano, CA
National Provider Identifier
1689821738
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100706 Issued in CA
Practice address
425 Del Sol Pkwy
Delano, CA 93215-3442
Phone
(661) 720-4011
Fax
(661) 720-4012
NPI assigned
Aug 20, 2008
Last updated
Jun 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 67766 CA
Clinical Social Worker 1041C0700X 100706 CA Primary

Addresses

Primary practice location

425 Del Sol Pkwy
Delano, CA 93215-3442

Mailing address

425 Del Sol Pkwy
Delano, CA 93215-3442
Phone (661) 720-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20210611001074 CA Practitioner - Clinical Social Worker 5991105033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1508 Garces Hwy
Suite 1
Delano, CA 93215-3687
Phone (661) 725-2788

425 Del Sol Pkwy
Delano, CA 93215-3442
Phone (661) 720-4011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67766CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Jun 3, 2021 Accepting new patients
Clinica Sierra Vista CurrentSince Jun 3, 2021 Accepting new patients
Clinica Sierra Vista Current Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

1430 Truxtun Ave
Ste 400
Bakersfield, CA 93301
Phone 6618625422 ext. 5144

425 Del Sol Pkwy
Delano, CA 93215
Phone (661) 720-4011

828 High St
Ste C
Delano, CA 93215
Phone (661) 721-5830

8787 Hall Rd
Lamont, CA 93241
Phone (661) 845-3717

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1689821738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 DEL SOL PKWY",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153442",
            "telephone_number": "661-720-4011",
            "fax_number": "661-720-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 DEL SOL PKWY",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153442",
            "telephone_number": "661-720-4011",
            "fax_number": "661-720-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "SUSANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "67766",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

Verify at the official NPI Registry.