Active NPI
Susan Brown, LCSW
- Clinical Social Worker
- La Mesa, CA
National Provider Identifier
1871693499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS12679
- Practice address
- 4700 Spring St
Suite 204
La Mesa, CA 91941-5263 - Phone
- (619) 698-5435
- Fax
- (619) 698-5435
- NPI assigned
- Sep 24, 2006
- 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 | LCS12679 | CA | Primary |
Addresses
Primary practice location
4700 Spring St
Suite 204
La Mesa, CA 91941-5263
Mailing address
4700 Spring St
Suite 204
La Mesa, CA 91941-5263
Phone (619) 698-5435
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ28134Z | Other | CA | BLUE SHIELD |
| LCS12679 | Other | CA | BBSE LICENSE NUMBER |
Other names 1
- Susan Hauer Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2020 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS12679 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871693499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 SPRING ST",
"address_2": "SUITE 204",
"city": "LA MESA",
"state": "CA",
"postal_code": "919415263",
"telephone_number": "619-698-5435",
"fax_number": "619-698-5435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 SPRING ST",
"address_2": "SUITE 204",
"city": "LA MESA",
"state": "CA",
"postal_code": "919415263",
"telephone_number": "619-698-5435",
"fax_number": "619-698-5435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS12679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ28134Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBSE LICENSE NUMBER",
"identifier": "LCS12679",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "BROWN",
"middle_name": "HAUER",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.