Active NPI
Susan Jane Doyle, LCSW
- Clinical Social Worker
- Pasadena, CA
National Provider Identifier
1740745462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110610
- Practice address
- 66 Hurlbut St
Pasadena, CA 91105-4025 - Phone
- (626) 441-4221
- NPI assigned
- Feb 6, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 81945 | CA | |
| Clinical Social Worker | 1041C0700X | 110610 | CA | Primary |
Addresses
Primary practice location
66 Hurlbut St
Pasadena, CA 91105-4025
Mailing address
800 S Santa Anita Ave
Arcadia, CA 91006-3536
Phone (626) 254-5000
Other practice location 1
50 E Foothill Blvd Ste 300
Arcadia, CA 91006-2314
Phone (626) 919-3579
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 |
|---|---|---|---|
| 110610 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soultenders, Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1740745462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S SANTA ANITA AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063536",
"telephone_number": "626-254-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 HURLBUT ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911054025",
"telephone_number": "626-441-4221"
}
],
"practiceLocations": [
{
"address_1": "50 E Foothill Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Arcadia",
"state": "CA",
"postal_code": "910062314",
"country_code": "US",
"telephone_number": "626-919-3579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOYLE",
"first_name": "SUSAN",
"middle_name": "JANE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-06",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "81945",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "110610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.