Susanne Liebman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00001296 Issued in CO

Practice address

710 Burbank St Ste F
Broomfield, CO 80020-1658

Phone

(949) 633-2623

NPI assigned

Jan 29, 2019

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

Other names 1

• Susanne Eversole Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Susanne Liebman, LLC

  • Clinical Social Worker
  • Broomfield, CO
  • NPI 1497219737
  Authorized official Same address or phone

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1881158384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BURBANK ST STE F",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201658",
            "telephone_number": "949-633-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BURBANK ST STE F",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201658",
            "telephone_number": "949-633-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBMAN",
        "first_name": "SUSANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "00001296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANNE",
            "last_name": "EVERSOLE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shannon M Lewis
• Eric W Liang, PHARMD
• Judith Libby-Lauwereins, MS, LMFT
• Liberty Drug LLC (Liberty Drug)
• Matthew Aaron Liebentritt, D.O.
• Audrey Lietar
• Life Alive Chiropractic LLC
• Lifetime Healthcare & Medical
• Ani S. Liggett, PH.D.
• Lil Friends LLC

• Clinical Social Worker in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.