Individual provider Active NPI

Susana Lopez Sierra, MSW

  • Social Worker
  • Port Saint Lucie, FL
National Provider Identifier
1790024289
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
122 SW Crescent Ave
Port Saint Lucie, FL 34984-4327
Phone
(561) 373-0880
NPI assigned
Feb 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

122 SW Crescent Ave
Port Saint Lucie, FL 34984-4327

Mailing address

122 SW Crescent Ave
Port Saint Lucie, FL 34984-4327
Phone (561) 373-0880

Other names 1

  • Mrs. Susana Sierra Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20221005002686 FL Practitioner - Clinical Social Worker 8325424930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

122 SW Crescent Ave
Port Saint Lucie, FL 34984-4327
Phone (561) 373-0880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Life Coaching CurrentSince Aug 16, 2022 Accepting new patients
Cotler Healthcare & Development Inc. CurrentSince Sep 26, 2022 Accepting new patients

Locations

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

2505 SW Martin Hwy
Palm City, FL 34990
Phone (772) 288-0060

Organizations & group practices 2

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": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1790024289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SW CRESCENT AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349844327",
            "telephone_number": "561-373-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SW CRESCENT AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349844327",
            "telephone_number": "561-373-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ SIERRA",
        "first_name": "SUSANA",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANA",
            "last_name": "SIERRA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.