Susan Rachel Span, MSW, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW011375L Issued in PA

Practice address

471 S Sweet Gum LN
Lafayette Hill, PA 19444-2601

Phone

(267) 252-4953

NPI assigned

Jan 6, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1821234220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 WATERFORD WAY",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "190023157",
            "telephone_number": "215-646-1075",
            "fax_number": "215-827-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 S SWEET GUM LN",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194442601",
            "telephone_number": "267-252-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAN",
        "first_name": "SUSAN",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW011375L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Singh
• Stephen A Slawek, DMD
• SLFS, LCSW LLC
• Amanda Smith, MSS, LCSW, CAADC
• Tamara Smith
• Leiza Stanley, LCSW
• Bonnie L Stewart, PH.D.
• Kurt Stoltz, O.D.
• Melissa Strauss, LPC
• Students Care Inc

• Clinical Social Worker in Lafayette Hill, PA
• Providers in Lafayette Hill, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.