Individual provider Active NPI

Susan Carol Schanen, LCSW

  • Clinical Social Worker
  • Jacksonville Beach, FL
National Provider Identifier
1922160282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3892 Issued in FL
Practice address
1003 3Rd St N
Jacksonville Beach, FL 32250-7238
Phone
(904) 247-0090
Fax
(904) 247-0093
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW3892 FL Primary

Addresses

Primary practice location

1003 3Rd St N
Jacksonville Beach, FL 32250-7238

Mailing address

PO Box 50726
Jacksonville Beach, FL 32240-0726
Phone (904) 247-0090

Other names 1

  • Ms. Susan Carol Ferrari Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW3892FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922160282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50726",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322400726",
            "telephone_number": "904-247-0090",
            "fax_number": "904-247-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 3RD ST N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507238",
            "telephone_number": "904-247-0090",
            "fax_number": "904-247-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANEN",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FERRARI",
            "middle_name": "CAROL",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville Beach, FL

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.