Individual provider Active NPI

Sue Bickerton, LCSW

  • Clinical Social Worker
  • Dripping Springs, TX
National Provider Identifier
1790762532
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10355 Issued in TX
Practice address
204 Deer Creek Cir
Dripping Springs, TX 78620-3011
Phone
(512) 346-2390
Fax
(512) 344-9321
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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 10355 TX Primary

Addresses

Primary practice location

204 Deer Creek Cir
Dripping Springs, TX 78620-3011

Mailing address

204 Deer Creek Cir
Dripping Springs, TX 78620-3011
Phone (512) 346-2390

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10355TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1790762532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 DEER CREEK CIR",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786203011",
            "telephone_number": "512-346-2390",
            "fax_number": "512-344-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 DEER CREEK CIR",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786203011",
            "telephone_number": "512-346-2390",
            "fax_number": "512-344-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKERTON",
        "first_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "10355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dripping Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.