Individual provider Active NPI

Susan Skolarus, LCSW

  • Clinical Social Worker
  • Manhattan Beach, CA
National Provider Identifier
1790447936
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21374 Issued in CA
Practice address
806 Manhattan Beach Blvd Ste 207
Manhattan Beach, CA 90266-4961
Phone
(310) 376-3388
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21374 CA Primary

Addresses

Primary practice location

806 Manhattan Beach Blvd Ste 207
Manhattan Beach, CA 90266-4961

Mailing address

1344 23Rd St
Manhattan Beach, CA 90266-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 28, 2025 through Jul 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21374CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie Thome, Licensed Clinical Social Worker, Inc. Clinical CurrentSince Oct 29, 2023 Accepting new patients
Psychological Wellness PastSince Oct 10, 2021 Accepting new patients

Locations

806 Manhattan Beach Blvd
Ste 207
Manhattan Beach, CA 90266
Phone (310) 376-3388

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1790447936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 23RD ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 MANHATTAN BEACH BLVD STE 207",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664961",
            "telephone_number": "310-376-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOLARUS",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "21374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.