Active NPI
Lynn Suzanne Haskell, LCSW
- Social Worker
- Santa Cruz, CA
National Provider Identifier
1902022734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW76614
- Practice address
- 709 Mission St.
Santa Cruz, CA 95060 - Phone
- (831) 429-8350
- Fax
- (831) 425-1526
- NPI assigned
- Apr 18, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW76614 | CA | Primary |
Addresses
Primary practice location
709 Mission St.
Santa Cruz, CA 95060
Mailing address
PO Box 879
Felton, CA 95018
Phone (831) 429-8350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ92069Z | Other | CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
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 |
|---|---|---|---|
| LCSW76614 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902022734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 879",
"city": "FELTON",
"state": "CA",
"postal_code": "95018",
"telephone_number": "831-429-8350",
"fax_number": "831-425-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 MISSION ST.",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95060",
"telephone_number": "831-429-8350",
"fax_number": "831-425-1526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKELL",
"first_name": "LYNN",
"middle_name": "SUZANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCSW76614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ COUNTY MEDICARE GROUP PTAN#",
"identifier": "ZZZ92069Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.