Active NPI
Suzanne Z Hoover, LICSW, CEAP
- Clinical Social Worker
- Seattle, WA
National Provider Identifier
1851692487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW 00006215
- Practice address
- 3876 Bridge Way N
Suite 200
Seattle, WA 98103-7951 - Phone
- (206) 661-0769
- NPI assigned
- Nov 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW 00006215 | WA | Primary |
Addresses
Primary practice location
3876 Bridge Way N
Suite 200
Seattle, WA 98103-7951
Mailing address
3876 Bridge Way N
Suite 200
Seattle, WA 98103-7951
Phone (206) 661-0769
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602090775 | Other | WA | UNIFIED BUSINESS ID |
| LW 00006215 | Other | WA | SOCIAL WORKER INDEPENDENT CLINICAL LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW 00006215 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289520000000",
"number": "1851692487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3876 BRIDGE WAY N",
"address_2": "SUITE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981037951",
"telephone_number": "206-661-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3876 BRIDGE WAY N",
"address_2": "SUITE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981037951",
"telephone_number": "206-661-0769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "SUZANNE",
"middle_name": "Z",
"credential": "LICSW, CEAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-12",
"last_updated": "2010-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW 00006215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIFIED BUSINESS ID",
"identifier": "602090775",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORKER INDEPENDENT CLINICAL LICENSE",
"identifier": "LW 00006215",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.