Active NPI
Susan Ann Emerson, LCSW, CATC IV
- Clinical Social Worker
- Fullerton, CA
National Provider Identifier
1891984324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 76479
- Practice address
- 801 E Chapman Ave
Ste. 230
Fullerton, CA 92831-3839 - Phone
- (714) 680-9000
- NPI assigned
- Oct 22, 2007
- Last updated
- Aug 9, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 76479 | CA | Primary |
Addresses
Primary practice location
801 E Chapman Ave
Ste. 230
Fullerton, CA 92831-3839
Mailing address
801 E. Chapman Ave
Suite 230
Fullerton, CA 92831-3839
Phone (714) 680-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76479 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hernandez Counseling & Associates | Clinical | Current | Accepting new patients |
| Synergy Counseling Associates | Past | Accepting new patients |
Locations
12440 Firestone Blvd
Ste 201
Norwalk, CA 90650
Phone (562) 450-0620
12440 Firestone Blvd
Ste 3001
Norwalk, CA 90650
Phone (562) 450-0620
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Norwalk, CA
- NPI 1366929895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1891984324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E. CHAPMAN AVE",
"address_2": "SUITE 230",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313839",
"telephone_number": "714-680-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E CHAPMAN AVE",
"address_2": "STE. 230",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313839",
"telephone_number": "714-680-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "SUSAN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LCSW, CATC IV",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-22",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "76479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.