Susan Bryer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0497 Issued in OR

Practice address

4224 NE 17TH Ave
Portland, OR 97211-5134

Phone

(503) 284-7570

NPI assigned

Sep 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/dab37ab4-940f-46d2-83dd-9830ab97c4d5/

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.

• Care Partners

  • Community Based Hospice Care Agency
  • Portland, OR
  • NPI 1255365904
  NPD (past)
• Tuality Physicians, P.C.

  dba Tuality Physicians

  • Family Medicine Physician
  • Hillsboro, OR
  • NPI 1073691556
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700986387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 NE 17TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115134",
            "telephone_number": "503-284-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 NE 17TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115134",
            "telephone_number": "503-284-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYER",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "0497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Edward Bryant, MD
• Taylor Bryant, DPT
• Tiffany Marie Bryant, LPC
• Tracy Bryce Farmer
• Ary Bryce
• Marisa Rose Bryman, CNM
• Julia Amy Hill Bryson, LCSW
• Nathan Edward Bryson, MSW
• Nathan Thomas Bryson, CADC I, CRM
• Frances Bubalo

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.