Susana Anaya-Baca, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW69056 Issued in CA

Practice address

29970 Technology Dr Ste 116
Murrieta, CA 92563

Phone

(951) 778-0230

NPI assigned

Sep 15, 2016

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)

Enrolled

State licenses

Practice roles

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.

• Central Counseling Services Licensed Clinical Social Worker Inc

  • Clinical Social Worker
  • Riverside, CA
  • NPI 1043704331
  NPD (past)

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1841748191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29970 TECHNOLOGY DR STE 116",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632647",
            "telephone_number": "951-778-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29970 TECHNOLOGY DR STE 116",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-778-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAYA-BACA",
        "first_name": "SUSANA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW69056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Amkraut
• Jennifer Amlani
• Barbara Tuazon Amog, D.M.D.
• Shaelyn Amos
• An Optimal You
• Anchor Medical Supply Inc.
• Andar Transportation LLC
• Michael Dee Andersen, M.D.
• James M Anderson, MFT
• James Russell Anderson, M.A., CCC/A

• Clinical Social Worker in Murrieta, CA
• Providers in Murrieta, 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 Jul 23, 2018; 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.