Susana Marin Pena, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104825 Issued in CA

Practice address

820 34TH St Ste 100
Bakersfield, CA 93301-2268

Phone

(661) 635-1382

Fax

(661) 322-1069

NPI assigned

Dec 18, 2015

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Kern

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bakersfield, CA
  • NPI 1568658821
  Medicare reassignment NPD
• County of Kern

  • Adult Mental Health Clinic/Center
  • Bakersfield, CA
  • NPI 1467653253
  NPD
• County of Kern

  • Adult Mental Health Clinic/Center
  • Bakersfield, CA
  • NPI 1851502124

  Clinical

  NPD

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1790140697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021000",
            "telephone_number": "661-635-1382",
            "fax_number": "661-322-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 34TH ST STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012268",
            "telephone_number": "661-635-1382",
            "fax_number": "661-322-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN PENA",
        "first_name": "SUSANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Mares
• PJ Margolis-Fox
• Regina Marguez
• Maria Dizon DDS Inc
• Maricel Isidro-Reighard Nursing Anesthesia Inc
• Abel Marin
• Alyssa C Marin
• Brenda Marin
• Briana Marin, CD
• Noeliay Marin

• Clinical Social Worker in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.