Susana B Zavala, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

65022 Issued in TX

Practice address

2716 Murphy Dr
Bedford, TX 76021-4936

Phone

(817) 583-2894

NPI assigned

Feb 17, 2023

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

• Susie Zavala Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Intellection Consulting, LLC

  • Professional Counselor
  • Bedford, TX
  • NPI 1497333454
  NPD

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1922706100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 MURPHY DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 MURPHY DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214936",
            "telephone_number": "817-583-2894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 N Saint Paul St Ste 25045790",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752013236",
            "country_code": "US",
            "telephone_number": "508-202-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "SUSANA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSIE",
            "last_name": "ZAVALA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Humaira Zafar
• Mohammad Mansoor Zaheer, RPH, MSC.
• Angelique Paulette Zajac, FNP-C
• Bryan David Zarek, PHARM.D.
• John M Zarosky, MD
• Zayab LLC
• Zachary Thomas Zender, MA, LPC
• Ashlynn Zerger
• Leah Zhrebker, M.D.

• Clinical Social Worker in Bedford, TX
• Providers in Bedford, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.